Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PENDLETON GLASS WALDRON DDS PA
NPI 1093777120
Dentist - Pediatric Dentistry in Newton, NC

Active since April 04, 2006
430 WEST 20TH ST, NEWTON, NC 28658(828) 464-9220(828) 464-9234 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Pendleton Glass Waldron Dds Pa NPPES

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

DR. PENDLETON GLASS WALDRON DDS PA (NPI 1093777120) is an individual pediatric dentistry provider in Newton, North Carolina, licensed in North Carolina (3233) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1093777120
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. PENDLETON GLASS WALDRONCredential: DDS PA
Location Address430 WEST 20TH STNewton, NC 28658
Mailing Address430 West 20th StNewton, NC 28658 · (828) 464-9220 · Fax (828) 464-9234
Fax(828) 464-9234
Sole ProprietorNo
Enumeration DateApril 4, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1093777120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NC · 3233
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.
430 WEST 20TH ST, Newton, NC 28658

Other Identifiers 2

Medicaid8998815NC
Other98815NC · Bcbs

Accepted Insurance

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.

Dentist (Pediatric Dentistry)
430 WEST 20TH ST
NEWTON, NC 28658
Clinic/Center (Dental)
430 WEST 20TH ST
NEWTON, NC 28658

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 Pendleton Waldron's NPI number?

The NPI number for Pendleton Waldron is 1093777120. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Pendleton Waldron located?

Pendleton Waldron practices at 430 West 20th St, Newton, NC 28658. The listed phone number is (828) 464-9220.

What is Pendleton Waldron's specialty?

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

What insurance does Pendleton Waldron accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Pendleton Waldron as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pendleton Waldron was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.