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ECU PEDIATRIC DENTAL CLINIC
NPI 1659536522
Dentist - Pediatric Dentistry in Greenville, NC

Active since July 21, 2008
2150 HERBERT CT, GREENVILLE, NC 27834(252) 744-3258(252) 744-3194 Get Directions Write a Review

NPPES record last updated: January 16, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ecu Pediatric Dental Clinic NPPES

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

ECU PEDIATRIC DENTAL CLINIC (NPI 1659536522) is a healthcare organization registered as a pediatric dentistry in Greenville, North Carolina and active in the NPI registry since July 2008. The organization lists Nicholas Benson, Vice Dean, as its authorized official.

NPPES Registry Identity

NPI1659536522
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameECU PEDIATRIC DENTAL CLINIC
Location Address2150 HERBERT CTGreenville, NC 27834-3736
Mailing AddressPo Box 751069Charlotte, NC 28275-1069 · (252) 744-3520 · Fax (252) 744-3194
Phone(252) 744-3258
Fax(252) 744-3194
Organization SubpartYesParent: East Carolina University
Authorized OfficialNicholas BensonVice Dean · (252) 744-7400
Enumeration DateJuly 21, 2008
Last NPPES UpdateJanuary 16, 2009
✔ NPI 1659536522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NC · 0066
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.

Also ListedDentistTaxonomy 122300000X · License 0066 (NC)
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License 0066 (NC)
2150 HERBERT CT, Greenville, NC 27834
Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D1032539

Ecu Pediatric Outpatient Center · Greenville, NC
Active · expires Jul 21, 2027
CLIA Number34D1032539
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorShaundreal D. Jamison
Laboratory Phone(252) 744-2535
Laboratory LocationEcu Pediatric Outpatient Center600 Moye Blvd, Biotechnology Building 1st Floor, Greenville, NC 27834
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

DR. GLENN D HARRIS MD
Pediatrics (Pediatric Critical Care Medicine)
2150 HERBERT CT, ECU PHYSICIANS PEDIATRIC SPECIALTY CARE CLINIC
GREENVILLE, NC 27834
Pitt County (252) 744-5437
DR. MICHAEL E REICHEL MD
Pediatrics (Developmental - Behavioral Pediatrics)
2150 HERBERT CT, ECU PHYSICIANS PEDIATRICS
GREENVILLE, NC 27834
Pitt County (252) 744-4169
DR. DEBRA A TRISTRAM MD
Pediatrics (Pediatric Infectious Diseases)
2150 HERBERT CT, ECU PHYSICIANS PEDIATRIC SPECIALTY CARE CLINIC
GREENVILLE, NC 27834
Pitt County (252) 744-5437
LEONARD C HYMES MD
Pediatrics (Pediatric Nephrology)
2150 HERBERT CT, ECU PHYSICIANS PEDIATRIC NEPHROLOGY
GREENVILLE, NC 27834
Pitt County (252) 744-5437
MS. LEAH CAROLINE BAREFOOT CPNP
Nurse Practitioner (Pediatrics)
2150 HERBERT CT, ECU PHYSICIANS PEDIATRIC GASTROENTEROLOGY
GREENVILLE, NC 27834
Pitt County (252) 744-5437
DR. MARGIE L JAWORSKI MD
Medical Genetics (Clinical Genetics (M.D.))
2150 HERBERT CT, ECU PHYSICIANS PEDIATRIC GENETICS
GREENVILLE, NC 27834
Pitt County (252) 744-2525
JENNIFER J. BELL MD
Pediatrics (Pediatric Endocrinology)
2150 HERBERT CT, ECU PHYSICIANS PEDIATRIC ENDOCRINOLOGY
GREENVILLE, NC 27834
Pitt County (252) 744-2516
MARSHA RUIZ
Dietitian, Registered
2150 HERBERT CT
GREENVILLE, NC 27834
Pitt County (252) 744-2516

Frequently Asked Questions

What is ECU PEDIATRIC DENTAL CLINIC's NPI number?

The NPI number assigned to this healthcare provider is 1659536522, enumerated as an "organization" on July 21, 2008.

Where is the provider located?

The provider is located at 2150 HERBERT CT GREENVILLE, NC 27834 and the phone number is (252) 744-3258.

What is the provider's specialty?

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.