1. Home
  2. Directory
  3. North Carolina
  4. Goldsboro
  5. Dentist
  6. NPI Profile

MEADOWS LUTCAVAGE SMITH VINTON FIDLER & LONG DDS PA
NPI 1992754311
Dentist - Oral and Maxillofacial Surgery in Goldsboro, NC

Active since May 10, 2006
2400 WAYNE MEMORIAL DR, SUITE K, GOLDSBORO, NC 27534(919) 736-2082(919) 734-0893 Get Directions Write a Review

NPPES record last updated: September 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Meadows Lutcavage Smith Vinton Fidler & Long Dds Pa NPPES

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

MEADOWS LUTCAVAGE SMITH VINTON FIDLER & LONG DDS PA (NPI 1992754311) is a healthcare organization registered as an oral and maxillofacial surgery in Goldsboro, North Carolina and active in the NPI registry since May 2006. The organization lists Gregory J Lutcavage, Partner, as its authorized official.

NPPES Registry Identity

NPI1992754311
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMEADOWS LUTCAVAGE SMITH VINTON FIDLER & LONG DDS PA
Location Address2400 WAYNE MEMORIAL DR, SUITE KGoldsboro, NC 27534-1789
Mailing Address2400 Wayne Memorial Dr, Suite KGoldsboro, NC 27534-1789 · (919) 736-2082 · Fax (919) 734-0893
Phone(919) 736-2082
Fax(919) 734-0893
Organization SubpartNo
Authorized OfficialGregory J LutcavagePartner · (919) 736-2082
Enumeration DateMay 10, 2006
Last NPPES UpdateSeptember 18, 2009
✔ NPI 1992754311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2400 WAYNE MEMORIAL DR, Goldsboro, NC 27534
Open in Google Maps ↗

Other Identifiers 3

Medicaid89016C1NC
Medicare ID-Type Unspecified2428433ANC · Medicare Group Number
Other016C1NC · Blue Cross Blue Shield

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

Other Providers at the Same Location NPPES 15

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

DR. JOHN E FIDLER JR. D.D.S.
Dentist (Oral and Maxillofacial Surgery)
2400 WAYNE MEMORIAL DR, SUITE K
GOLDSBORO, NC 27534
Wayne County (919) 736-2082
HANNAH LINDSAY BLACK
Advanced Practice Midwife
2400 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534
Wayne County (919) 587-3980
GOLDSBORO MEDICAL CLINIC PA
Internal Medicine
2400 WAYNE MEMORIAL DR, STE I
GOLDSBORO, NC 27534
Wayne County (919) 739-9060
CHRISTINE KABANGA ILUNGA M.D.
Internal Medicine (Nephrology)
2400 WAYNE MEMORIAL DR, SUITE D
GOLDSBORO, NC 27534
Wayne County (919) 734-0909
WAYNE HEALTH PHYSICIANS
Clinic/Center
2400 WAYNE MEMORIAL DR, SUITE J
GOLDSBORO, NC 27534
Wayne County (919) 587-4081
MR. JAMIE RYAN HAM NP-C
Nurse Practitioner (Family)
2400 WAYNE MEMORIAL DR, SUITE I
GOLDSBORO, NC 27534
Wayne County (919) 739-9060
DR. GREGORY J LUTCAVAGE D.D.S.
Dentist (Oral and Maxillofacial Surgery)
2400 WAYNE MEMORIAL DR, SUITE K
GOLDSBORO, NC 27534
Wayne County (919) 736-2082
WAYNESBOROUGH PSYCHOLOGICAL SERVICES
Psychologist
2400 WAYNE MEMORIAL DR, SUITE E
GOLDSBORO, NC 27534
Wayne County (919) 736-7900

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 Meadows Lutcavage Smith Vinton Fidler & Long Dds PA's NPI number?

The NPI number for Meadows Lutcavage Smith Vinton Fidler & Long Dds PA is 1992754311. It was assigned to this organization in the NPPES registry on May 10, 2006.

Where is Meadows Lutcavage Smith Vinton Fidler & Long Dds PA located?

Meadows Lutcavage Smith Vinton Fidler & Long Dds PA is located at 2400 Wayne Memorial Dr Suite K, Goldsboro, NC 27534. The listed phone number is (919) 736-2082.

What is Meadows Lutcavage Smith Vinton Fidler & Long Dds PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Meadows Lutcavage Smith Vinton Fidler & Long Dds PA was last updated on September 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.