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SOUTHSIDE UNITED HEALTH CENTERS
NPI 1265911705
Dentist in Winston Salem, NC

Active since August 07, 2018
2101 PETERS CREEK PKWY, WINSTON SALEM, NC 27127(336) 955-1379(336) 893-9987 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 1, 2022, Aug 7, 2018 (2 updates tracked since 2018).

About Southside United Health Centers NPPES

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

SOUTHSIDE UNITED HEALTH CENTERS (NPI 1265911705) is a healthcare organization registered as a dentist in Winston Salem, North Carolina and active in the NPI registry since August 2018. The organization lists Cre'shawna White, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1265911705
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSOUTHSIDE UNITED HEALTH CENTERS
Location Address2101 PETERS CREEK PKWYWinston Salem, NC 27127
Mailing AddressPo Box 12341Winston Salem, NC 27117-2341 · (336) 955-1379 · Fax (336) 893-9987
Phone(336) 955-1379
Fax(336) 893-9987
Organization SubpartNo
Authorized OfficialCre'shawna WhiteFinance Director · (336) 529-2163
Enumeration DateAugust 7, 2018
Last NPPES UpdateMarch 1, 20222 updates tracked since enumeration
NPPES CertifiedMarch 1, 2022
✔ NPI 1265911705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2101 PETERS CREEK PKWY, Winston Salem, NC 27127
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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

Other Providers at the Same Location NPPES 6

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

MR. CHRISTOPHER SHANE GEORGEFF PA-C
Physician Assistant (Medical)
2101 PETERS CREEK PKWY
WINSTON SALEM, NC 27127
Forsyth County (336) 955-1379
DR. ANNIE CLARK
Dentist (General Practice)
2101 PETERS CREEK PKWY
WINSTON SALEM, NC 27127
Forsyth County (336) 955-1379
MRS. SHANNON KOSTUCK MSW, LCSW-A
Social Worker (Clinical)
2101 PETERS CREEK PKWY, SUITE 20-22
WINSTON SALEM, NC 27127
Forsyth County (336) 761-5300
DR. SADEGH SALEKNEZHAD MD
Internal Medicine
2101 PETERS CREEK PKWY
WINSTON SALEM, NC 27127
Forsyth County (336) 955-1379
KARINA MARTINEZ
Social Worker (Clinical)
2101 PETERS CREEK PKWY
WINSTON SALEM, NC 27127
Forsyth County (336) 955-1379
DR. CASEY REYNOLDS DDS
Dentist (Dental Public Health)
2101 PETERS CREEK PKWY
WINSTON SALEM, NC 27127
Forsyth County (336) 955-1379

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 Southside United Health Centers's NPI number?

The NPI number for Southside United Health Centers is 1265911705. It was assigned to this organization in the NPPES registry on August 7, 2018.

Where is Southside United Health Centers located?

Southside United Health Centers is located at 2101 Peters Creek Pkwy, Winston Salem, NC 27127. The listed phone number is (336) 955-1379.

What is Southside United Health Centers's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Southside United Health Centers was last updated on March 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.