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STATESVILLE PEDIATRIC DENTISTRY
NPI 1356730741
Dentist - Pediatric Dentistry in Statesville, NC

Active since January 22, 2015
1454 FERN CREEK DRIVE, STATESVILLE, NC 28625(980) 223-2607(980) 223-6064 Get Directions Write a Review

NPPES record last updated: July 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Statesville Pediatric Dentistry NPPES

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

STATESVILLE PEDIATRIC DENTISTRY (NPI 1356730741) is a healthcare organization registered as a pediatric dentistry in Statesville, North Carolina and active in the NPI registry since January 2015. The organization maintains a secondary practice location in Statesville and lists Lucenda Harris, Credentialing & Contracting Coordin, as its authorized official.

NPPES Registry Identity

NPI1356730741
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameDAVID E THOME DDS PLLC IV
Location Address1454 FERN CREEK DRIVEStatesville, NC 28625
Mailing AddressPo Box 530172Atlanta, GA 30353-0172 · (980) 729-5200 · Fax (704) 943-0593
Phone(980) 223-2607
Fax(980) 223-6064
Organization SubpartNo
Authorized OfficialLucenda HarrisCredentialing & Contracting Coordin · (980) 729-5200
Enumeration DateJanuary 22, 2015
Last NPPES UpdateJuly 9, 2021
NPPES CertifiedJune 16, 2021
✔ NPI 1356730741 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 · 9277
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.
1454 FERN CREEK DRIVE, Statesville, NC 28625
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Other Names 1

Doing Business AsStatesville Pediatric Dentistry

Secondary Practice Location 1

Location 11209 Davie AveStatesville, NC 28677-3511 · Phone (704) 604-0353

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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.

DAVID E THOME DDS PLLC I
Dentist (Pediatric Dentistry)
1454 FERN CREEK DRIVE
STATESVILLE, NC 28625
Iredell County (980) 223-2607
DAVID E THOME DDS PLLC L1
Dentist (Pediatric Dentistry)
1454 FERN CREEK DRIVE
STATESVILLE, NC 28625
Iredell County (980) 223-2607

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 David E Thome Dds PLLC IV's NPI number?

The NPI number for David E Thome Dds PLLC IV is 1356730741. It was assigned to this organization in the NPPES registry on January 22, 2015. The provider is doing business as Statesville Pediatric Dentistry.

Where is David E Thome Dds PLLC IV located?

David E Thome Dds PLLC IV is located at 1454 Fern Creek Drive, Statesville, NC 28625. The listed phone number is (980) 223-2607.

What is David E Thome Dds PLLC IV's specialty?

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

What insurance does David E Thome Dds PLLC IV accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list David E Thome Dds PLLC IV 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 David E Thome Dds PLLC IV was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.