ABOUT FACE COLLABORATIVE
NPI 1093331209
Dentist - Pediatric Dentistry in Raleigh, NC

Q: What is Elmore Jr Dds PLLC's NPI number?

The NPI number for Elmore Jr Dds PLLC is 1093331209. It was assigned to this organization in the NPPES registry on June 23, 2020. The provider is doing business as About Face Collaborative.

Q: What is Elmore Jr Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since June 23, 2020

4414 LAKE BOONE TRL STE 111, RALEIGH, NC 27607(804) 387-7002 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 9, 2023, Jun 23, 2020 (2 updates tracked since 2020).

On this page

About About Face Collaborative NPPES

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

ABOUT FACE COLLABORATIVE (NPI 1093331209) is a healthcare organization registered as a pediatric dentistry in Raleigh, North Carolina and active in the NPI registry since June 2020. The organization maintains a secondary practice location in Cary and lists Jasmine R Elmore, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1093331209

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameELMORE JR DDS PLLC

Location Address4414 LAKE BOONE TRL STE 111Raleigh, NC 27607-7514

Mailing Address4049 Landover Peak PlRaleigh, NC 27616-9796 · (252) 916-5875

Phone(804) 387-7002

Organization SubpartNo

Authorized OfficialJasmine R ElmorePresident/ceo · (252) 916-5875

Enumeration DateJune 23, 2020

Last NPPES UpdateMay 9, 20232 updates tracked since enumeration

NPPES CertifiedMay 9, 2023

✔ NPI 1093331209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentist · General PracticeTaxonomy 1223G0001X

4414 LAKE BOONE TRL STE 111, Raleigh, NC 27607

Open in Google Maps ↗

Other Names 1

Doing Business AsAbout Face Collaborative

Secondary Practice Location 1

Location 11150 NW Maynard Rd Ste 140Cary, NC 27513-8709 · Phone (804) 387-7002

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Elmore Jr Dds PLLC's NPI number?

The NPI number for Elmore Jr Dds PLLC is 1093331209. It was assigned to this organization in the NPPES registry on June 23, 2020. The provider is doing business as About Face Collaborative.

Where is Elmore Jr Dds PLLC located?

Elmore Jr Dds PLLC is located at 4414 Lake Boone Trl Ste 111, Raleigh, NC 27607. The listed phone number is (804) 387-7002.

What is Elmore Jr Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Elmore Jr Dds PLLC was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.