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SOUTHLAND DENTAL CARE
NPI 1053561555
Dentist - General Practice in Wallace, NC

Active since September 22, 2008
522 S NORWOOD ST, WALLACE, NC 28466(910) 285-7800(910) 285-6097 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southland Dental Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHLAND DENTAL CARE (NPI 1053561555) is a healthcare organization registered as a general practice in Wallace, North Carolina and active in the NPI registry since September 2008. The organization lists Axon Darren Sholar, President/ownder, as its authorized official.

NPPES Registry Identity

NPI1053561555
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameA DARREN SHOLAR, DDS,PA
Location Address522 S NORWOOD STWallace, NC 28466-1620
Mailing Address522 S Norwood StWallace, NC 28466-1620 · (910) 285-7800 · Fax (910) 285-6097
Phone(910) 285-7800
Fax(910) 285-6097
Organization SubpartNo
Authorized OfficialAxon Darren SholarPresident/ownder · (910) 285-7800
Enumeration DateSeptember 22, 2008
Last NPPES UpdateJune 11, 2020
NPPES CertifiedJune 11, 2020
✔ NPI 1053561555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 6268
Definition
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.
522 S NORWOOD ST, Wallace, NC 28466
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Other Names 1

Doing Business AsSouthland Dental Care

Other Identifiers 4

Other1680308NC · United Concordia
Other97800NC · Bcbs
Medicaid8997800NC
Other385397NC · Trigon

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TINA JOELL-KENNEDY PARKER DDS
Dentist
522 S NORWOOD ST
WALLACE, NC 28466
Duplin County (910) 285-7800
AXON DARREN SHOLAR DDS
Dentist (General Practice)
522 S NORWOOD ST
WALLACE, NC 28466
Duplin County (910) 285-7800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is A Darren Sholar, Dds,pa's NPI number?

The NPI number for A Darren Sholar, Dds,pa is 1053561555. It was assigned to this organization in the NPPES registry on September 22, 2008. The provider is doing business as Southland Dental Care.

Where is A Darren Sholar, Dds,pa located?

A Darren Sholar, Dds,pa is located at 522 S Norwood St, Wallace, NC 28466. The listed phone number is (910) 285-7800.

What is A Darren Sholar, Dds,pa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for A Darren Sholar, Dds,pa was last updated on June 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.