DENTIST
NPI 1376013243
Dentist in Asheville, NC

Active since December 04, 2018
11 VANDERBILT PARK DR, ASHEVILLE, NC 28803(828) 213-1740 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2020, Feb 3, 2019, Dec 4, 2018 (3 updates tracked since 2018).

About Dentist NPPES

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

DENTIST (NPI 1376013243) is a healthcare organization registered as a dentist in Asheville, North Carolina and active in the NPI registry since December 2018. The organization lists Tedrick Johnson, Group Vice President, as its authorized official.

NPPES Registry Identity

NPI1376013243
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMISSION HEALTH COMMUNITY MULTISPECIALTY PROVIDERS, LLC
Location Address11 VANDERBILT PARK DRAsheville, NC 28803-1700
Mailing AddressPo Box 603366Charlotte, NC 28260-3366 · (828) 213-1500 · Fax (828) 681-1575
Organization SubpartYes
Authorized OfficialTedrick JohnsonGroup Vice President · (615) 372-3755
Enumeration DateDecember 4, 2018
Last NPPES UpdateMay 15, 20203 updates tracked since enumeration
NPPES CertifiedMay 15, 2020
NPI 1376013243 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.
11 VANDERBILT PARK DR, Asheville, NC 28803

Other Names 1

Other NameDentist

Other Identifiers 2

Medicaid1376013243NC
Other02CG9NC · Bc/bs Nc

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 20

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

Psychiatry & Neurology (Psychiatry)
11 VANDERBILT PARK DR
ASHEVILLE, NC 28803
Pediatrics
11 VANDERBILT PARK DR
ASHEVILLE, NC 28803
Dentist
11 VANDERBILT PARK DR, MISSION CHILDREN'S DENTAL PROGRAM
ASHEVILLE, NC 28803
Clinic/Center
11 VANDERBILT PARK DR
ASHEVILLE, NC 28803
Dietitian, Registered
11 VANDERBILT PARK DR
ASHEVILLE, NC 28803
Pediatrics
11 VANDERBILT PARK DR
ASHEVILLE, NC 28803
Pediatrics
11 VANDERBILT PARK DR
ASHEVILLE, NC 28803
Dietitian, Registered
11 VANDERBILT PARK DR
ASHEVILLE, NC 28803

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 Mission Health Community Multispecialty Providers, LLC's NPI number?

The NPI number for Mission Health Community Multispecialty Providers, LLC is 1376013243. It was assigned to this organization in the NPPES registry on December 4, 2018. The provider is also known as Dentist.

Where is Mission Health Community Multispecialty Providers, LLC located?

Mission Health Community Multispecialty Providers, LLC is located at 11 Vanderbilt Park Dr, Asheville, NC 28803. The listed phone number is (828) 213-1740.

What is Mission Health Community Multispecialty Providers, LLC'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 Mission Health Community Multispecialty Providers, LLC was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.