Provider Demographics
NPI:1912024308
Name:SMALL AND PIERS LLP
Entity Type:Organization
Organization Name:SMALL AND PIERS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SMALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-433-1242
Mailing Address - Street 1:110 JUNIPER ST STE 300
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-4677
Mailing Address - Country:US
Mailing Address - Phone:828-433-1242
Mailing Address - Fax:828-437-3899
Practice Address - Street 1:110 JUNIPER ST STE 300
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-4677
Practice Address - Country:US
Practice Address - Phone:828-433-1242
Practice Address - Fax:828-437-3899
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SMALL AND PIERS LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-23
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC72321223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC899014CMedicaid
NC9014COtherBLUE CROSS BLUE SHIELD
NCBS5957850Medicare UPIN