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Active NPI 1174688642 Individual Practitioner Male Practitioner

Dr. Doug A Tutterow , DDS

Dentist - General Practice • Pfafftown, NC

Professional Overview & Biography Verified Profile Summary

Dr. Doug Tutterow, DDS is a registered healthcare professional specializing in Dentist - General Practice in Pfafftown, NC. Practice services are available at 4680 YADKINVILLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4680 Yadkinville Rd

Pfafftown, NC 27040

Telephone 3369249555
Associated Practice Facility / Clinic
🏢 Douglas A Tutterow Dds Pa Facility NPI 1306980362

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pfafftown, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Pfafftown, NC (4047 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NC 5245

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4998654 (NC)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4680 YADKINVILLE RD, PFAFFTOWN, NC 27040 (Tel: 3369249555)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 518, 4680 YADKINVILLE RD, PFAFFTOWN, NC 27040 (Tel: 3369249555)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DOUG TUTTEROW, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5245 in NC)

🟢
Initial NPI Registration & Enumeration December 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174688642
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 26, 2006
Last Update: July 08, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

Po Box 518, 4680 Yadkinville Rd

Pfafftown, NC 27040

Phone: 3369249555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.