WILLOWDAILE FAMILY DENTISTRY
NPI 1104007996
Dentist - General Practice in Durham, NC

Active since November 20, 2007
3823 GUESS RD, SUITE P, DURHAM, NC 27705(919) 479-5800(919) 620-9244 Get Directions Write a Review

NPPES record last updated: November 20, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willowdaile Family Dentistry NPPES

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

WILLOWDAILE FAMILY DENTISTRY (NPI 1104007996) is a healthcare organization registered as a general practice in Durham, North Carolina and active in the NPI registry since November 2007. The organization lists Debora A Bolton, Dentist, as its authorized official.

NPPES Registry Identity

NPI1104007996
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDEBORA A. BOLTON, DDS, PA
Location Address3823 GUESS RD, SUITE PDurham, NC 27705-1505
Mailing Address3823 Guess Rd, Suite PDurham, NC 27705-1505 · (919) 479-5800 · Fax (919) 620-9244
Fax(919) 620-9244
Organization SubpartNo
Authorized OfficialDebora A BoltonDentist · (919) 479-5800
Enumeration DateNovember 20, 2007
NPI 1104007996 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 · 7251
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.
3823 GUESS RD, Durham, NC 27705

Other Names 1

Doing Business AsWillowdaile Family Dentistry

Other Identifiers 1

Medicaid5900493NC

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 5

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

Dentist
3823 GUESS RD, SUITE P
DURHAM, NC 27705
Dentist (General Practice)
3823 GUESS RD
DURHAM, NC 27705
Dentist (General Practice)
3823 GUESS RD, SUITE P
DURHAM, NC 27705
Clinic/Center (Physical Therapy)
3823 GUESS RD
DURHAM, NC 27705
Dentist
3823 GUESS RD, SUITE P
DURHAM, NC 27705

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 Debora A. Bolton, Dds, PA's NPI number?

The NPI number for Debora A. Bolton, Dds, PA is 1104007996. It was assigned to this organization in the NPPES registry on November 20, 2007. The provider is doing business as Willowdaile Family Dentistry.

Where is Debora A. Bolton, Dds, PA located?

Debora A. Bolton, Dds, PA is located at 3823 Guess Rd Suite P, Durham, NC 27705. The listed phone number is (919) 479-5800.

What is Debora A. Bolton, 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 Debora A. Bolton, Dds, PA was last updated on November 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.