Stuart H. Whiddon, D.D.S., P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4824 Issued in NC

Legal business name

STUART H. WHIDDON, D.D.S., P.A.

Practice address

1040 Randolph St
Suite 19
Thomasville, NC 27360-6383

Phone

(336) 476-1109

Fax

(336) 476-1101

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stuart Hall Whiddon, D.D.S.

Title

President

Phone

(336) 476-1109

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Nicholas John Hurley, D.D.S.

  • General Practice Dentistry
  • Thomasville, NC
  • NPI 1114124005
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1851312847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 RANDOLPH ST",
            "address_2": "SUITE 19",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273606383",
            "telephone_number": "336-476-1109",
            "fax_number": "336-476-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 RANDOLPH ST",
            "address_2": "SUITE 19",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273606383",
            "telephone_number": "336-476-1109",
            "fax_number": "336-476-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART H. WHIDDON, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "WHIDDON",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "HALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-476-1109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "4824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899203",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather M Stefanik
• Christina Olivia Stephenson, FNP-C
• John Thomas Stevenson III, RN
• Nathanial Stewart, EMT
• Joseph Raymond Stringfellow, MD, MPH
• Geena Rose Stumbaugh
• Jagannath Subedi, M.D.
• Gary Brian Sutherby Jr., PHARMD
• Rosanna Sutherby, PHARMD
• Adrian Sutton, PHARMD

• Dental Clinic/Center in Thomasville, NC
• Providers in Thomasville, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.