Jeffrey William Duffy, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9715 Issued in NC

Practice address

127 Royal Troon LN
Advance, NC 27006-6970

Phone

(336) 998-2427

NPI assigned

May 22, 2014

Last updated

May 28, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adam T. Dorsett, DDS, and Jason T. Moore, DDS, PA

  • General Practice Dentistry
  • Advance, NC
  • NPI 1912121393
  NPD (past)

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1881006021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ROYAL TROON LN",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270066970",
            "telephone_number": "336-998-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ROYAL TROON LN",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270066970",
            "telephone_number": "336-998-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Digestive Health Specialists, PA
• Digestive Health Specialists, PA
• Adam T. Dorsett, D.D.S
• Dr. Todd Carter D.D.S
• Gabriella Drouillard-Moser, M.A., M.A.,
• Kelly Jean Duffy, MD
• Jayme Nance Earle, M.S., CCC-SLP
• Eckerd Corporation (Rite Aid Pharmacy 11310)
• Kerry Eileen Eisinger, COTA
• Loraine Grace Engstrom, OTR/L

• General Practice Dentistry in Advance, NC
• Providers in Advance, 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 May 28, 2014; 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.