Healthcare Provider Details

I. General information

NPI: 1629989710
Provider Name (Legal Business Name): JAMES M PIPER II DMD II MS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 W WILKES MEDICAL CENTER RD
FERGUSON NC
28624-8925
US

IV. Provider business mailing address

181 W WILKES MEDICAL CENTER RD
FERGUSON NC
28624-8925
US

V. Phone/Fax

Practice location:
  • Phone: 336-973-5060
  • Fax: 336-973-5150
Mailing address:
  • Phone: 336-973-5060
  • Fax: 336-973-5150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES MASTON PIPER II
Title or Position: OWNER
Credential: MS PA DMD
Phone: 336-973-5060