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

DR. JIM CONGLETON D.D.S.
NPI 1184613531
Dentist - Pediatric Dentistry in Trent Woods, NC

Active since October 18, 2005
2811 VILLAGE WAY, TRENT WOODS, NC 28562(252) 633-0424(252) 638-6662 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jim Congleton D.d.s. NPPES

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

DR. JIM CONGLETON D.D.S. (NPI 1184613531) is an individual pediatric dentistry provider in Trent Woods, North Carolina, licensed in North Carolina (4047) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1184613531
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JIM CONGLETONCredential: D.D.S.
Location Address2811 VILLAGE WAYTrent Woods, NC 28562-7351
Mailing Address2811 Village WayTrent Woods, NC 28562-7351 · (252) 633-0424 · Fax (252) 638-6662
Fax(252) 638-6662
Sole ProprietorNo
Enumeration DateOctober 18, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1184613531 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 · 4047
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.
2811 VILLAGE WAY, Trent Woods, NC 28562

Other Providers at the Same Location NPPES

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

Dentist (Pediatric Dentistry)
2811 VILLAGE WAY
TRENT WOODS, NC 28562

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 Jim Congleton's NPI number?

The NPI number for Jim Congleton is 1184613531. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Jim Congleton located?

Jim Congleton practices at 2811 Village Way, Trent Woods, NC 28562. The listed phone number is (252) 633-0424.

What is Jim Congleton'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 Jim Congleton 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 37 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.