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SUMMIT AVENUE COSMETIC AND SEDATION DENTAL CARE NPI 1831497809


NPI Information

NPI: 1831497809
Provider Name: SUMMIT AVENUE COSMETIC AND SEDATION DENTAL CARE
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
714 SUMMIT AVE
GREENSBORO, NC
ZIP 27405
Phone: (336) 275-5905
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SUMMIT AVENUE COSMETIC AND SEDATION DENTAL CARE is a general practice dentist in Greensboro, NC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SUMMIT AVENUE COSMETIC AND SEDATION DENTAL CARE NPI is 1831497809. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

714 SUMMIT AVE
GREENSBORO, NC
ZIP 27405-832
Phone: (336) 275-5905
Fax: (336) 273-0110

The provider's authorized official is Sharon Javonnah Cobham .
The authorized official title is Doctor and has the following contact phone number (336) 275-5905.

The enumeration date for this NPI number is 3/1/2011 and was last updated on 4/11/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice6970NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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