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PAUL D. NIFONG JR. DDSPA
NPI 1437160991
Dentist - General Practice in Clemmons, NC

Active since August 10, 2006
3624 CLEMMONS ROAD, CLEMMONS, NC 27012(336) 766-6457 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Paul D. Nifong Jr. Ddspa NPPES

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

PAUL D. NIFONG JR. DDSPA (NPI 1437160991) is a healthcare organization registered as a general practice in Clemmons, North Carolina and active in the NPI registry since August 2006. The organization lists Paul Douglas Nifong, President, as its authorized official.

NPPES Registry Identity

NPI1437160991
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePAUL D. NIFONG JR. DDSPA
Location Address3624 CLEMMONS ROADClemmons, NC 27012-0325
Mailing AddressPo Box 325Clemmons, NC 27012-0325 · (336) 766-6457
Phone(336) 766-6457
Organization SubpartNo
Authorized OfficialPaul Douglas NifongPresident · (336) 766-6457
Enumeration DateAugust 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1437160991 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 · 4520
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.
3624 CLEMMONS ROAD, Clemmons, NC 27012
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Other Identifiers 1

Medicaid8996451NC

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Paul D. Nifong Jr. Ddspa's NPI number?

The NPI number for Paul D. Nifong Jr. Ddspa is 1437160991. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Paul D. Nifong Jr. Ddspa located?

Paul D. Nifong Jr. Ddspa is located at 3624 Clemmons Road, Clemmons, NC 27012. The listed phone number is (336) 766-6457.

What is Paul D. Nifong Jr. Ddspa'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 Paul D. Nifong Jr. Ddspa was last updated on August 22, 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.