Jacqueline Sonceau PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JACQUELINE SONCEAU PLLC

Practice address

1610 Vaughn Rd Ste J
Burlington, NC 27217-2919

Phone

(336) 226-2525

Fax

(336) 226-0744

NPI assigned

Aug 12, 2021

Organization subpart

Yes

Parent organization

JACQUELINE SONCEAU PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tiffany E Hightower

Title

Office Manager

Phone

(336) 226-2525

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Great Smiles 4 You Other name

Part of

Jacqueline Sonceau PLLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kary V Dodd, D.D.S.P.A

  • Dentist
  • Burlington, NC
  • NPI 1942286208
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1841965738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 VAUGHN RD STE J",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172919",
            "telephone_number": "336-226-2525",
            "fax_number": "336-226-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 VAUGHN RD STE J",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172919",
            "telephone_number": "336-226-2525",
            "fax_number": "336-226-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE SONCEAU PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACQUELINE SONCEAU PLLC",
        "enumeration_date": "2021-08-12",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "HIGHTOWER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-226-2525"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900643",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Smiles 4 You",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Great Smiles 4 You",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrew Thomas Irons, PA-C
• Arin L Isenstein, M.D.
• Gillian Izlar
• J Madison Clark MD PLLC
• Stephen Daniel Jackson, MD
• Fayegh Jadali, MD PHD
• Kimberly Lauren Jakubowski, DPT
• Jeneba Jalloh, NP
• James G Rafael
• Ar'Mallorie James

• General Practice Dentistry in Burlington, NC
• Providers in Burlington, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.