Organization · Type 2 NPI

David E Thome DDS PLLC IV

Pediatric Dentistry · Statesville, NC

NPI number 1356730741 Active

Practice location

1454 Fern Creek Drive
Statesville, NC 28625

Call (980) 223-2607 Map

Fax (980) 223-6064

Mailing address

PO Box 530172
Atlanta, GA 30353-0172

Other practice locations

1209 Davie Ave, Statesville, NC 28677-3511 · (704) 604-0353

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	9277 (NC)

Pediatric Dentistry: 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.

2 other providers at this address

Other pediatric dentistry providers in Statesville

See all in Statesville →

NPI record

NPI: 1356730741
Entity type: Organization (Type 2)
Issued: Jan 22, 2015
Last updated: Jul 9, 2021
Status: Active

Other names

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Statesville Pediatric Dentistry · doing business as
Statesville Pediatric Dentistry · doing business as

Authorized official

Lucenda Harris
Credentialing & Contracting Coordin
(980) 729-5200

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1356730741

David E Thome DDS PLLC IV's National Provider Identifier is 1356730741, issued on Jan 22, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Statesville, NC. The record was last updated on Jul 9, 2021.