Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edwin L. Booth, Jr , DDS, PA

Organization Dentist · NPI 1821282039

Edwin L. Booth, Jr , DDS, PA is a Dentist in Greensboro, North Carolina. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2100 W Cornwallis Dr Ste Q
Greensboro, NC 27408-7036
Phone: (336) 282-3400
Fax: (336) 282-3292
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1821282039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Booth — Secretary/Treasurer/Office Manager · (336) 282-3400
NPI enumeratedAugust 30, 2007
Last updated in NPPESAugust 30, 2007
Mailing address2100 W Cornwallis Dr, Suite Q, Greensboro, NC 27408-7036

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