Jessica Allison Atwood, DDS
Individual provider Active NPI Dentist · Eden, NC
NPI 1992321871 · NPPES record last updated Mar 24, 2023
Key facts
- NPI
- 1992321871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 11780 (NC)
- Practice address
- 113 W Arbor LN
Eden, NC 27288-5305 - Phone
- (336) 623-9143
- NPI assigned
- Jun 17, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11780 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abbey S. Hawkins, DDS, PA | Current |
Accepting new patients |
Locations
113 W Arbor Ln
Eden, NC 27288
Phone (336) 623-9143
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11780 | NC | Yes |
Addresses
Primary practice location
113 W Arbor LN
Eden, NC 27288-5305
Mailing address
113 W Arbor Lane
Eden, NC 27288
Other providers in Eden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.