Provider Demographics
NPI:1932294857
Name:S. CODY FIELDEN, DMD PLLC
Entity Type:Organization
Organization Name:S. CODY FIELDEN, DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:CODY
Authorized Official - Last Name:FIELDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:336-889-2434
Mailing Address - Street 1:115 GATEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-4944
Mailing Address - Country:US
Mailing Address - Phone:336-889-2434
Mailing Address - Fax:336-889-7241
Practice Address - Street 1:115 GATEWOOD AVE
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-4944
Practice Address - Country:US
Practice Address - Phone:336-889-2434
Practice Address - Fax:336-889-7241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty