OrganizationActive
Edwin L. Booth, Jr., DDS, PA
NPI 1821282039 · Dentist · Greensboro, NC
Edwin L. Booth, Jr., DDS, PA is a Dentist organization in Greensboro, NC (NPI 1821282039).
Provider details
- NPI number
- 1821282039
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jill Booth, Secretary/Treasurer/Office Manager(336) 282-3400
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2100 W Cornwallis Dr
Suite Q
Greensboro, NC 27408-7036
Phone: (336) 282-3400
Fax: (336) 282-3292
Street-level locationGet directions
Mailing address
2100 W Cornwallis Dr
Greensboro, NC 27408-7036
Registry dates
- Enumerated
- 2007-08-30
- Last updated
- 2007-08-30
Frequently asked questions
- What is Edwin L. Booth, Jr., DDS, PA's NPI number?
- Edwin L. Booth, Jr., DDS, PA's National Provider Identifier (NPI) is 1821282039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edwin L. Booth, Jr., DDS, PA?
- Edwin L. Booth, Jr., DDS, PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Edwin L. Booth, Jr., DDS, PA located?
- Edwin L. Booth, Jr., DDS, PA's practice location on file with NPPES is 2100 W Cornwallis Dr, Greensboro, NC 27408-7036.
- What is Edwin L. Booth, Jr., DDS, PA's phone number?
- The practice phone number listed in the NPPES registry for Edwin L. Booth, Jr., DDS, PA is (336) 282-3400.
- Who is the authorized official for Edwin L. Booth, Jr., DDS, PA?
- The authorized official listed on Edwin L. Booth, Jr., DDS, PA's NPPES record is Jill Booth, Secretary/Treasurer/Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edwin L. Booth, Jr., DDS, PA's NPI active?
- Yes — Edwin L. Booth, Jr., DDS, PA's NPI (1821282039) is active in the NPPES registry as of the last update on 2007-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.