Dr. Pendleton Glass Waldron, DDS PA
Dr. Pendleton Glass Waldron is a Pediatric Dentistry provider (Dentist) practicing in Newton, NC, registered in the NPPES registry with NPI 1093777120 since 2006.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1093777120 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Pendleton Glass Waldron |
| Credential | DDS PA |
| Sex | Male |
| Practice address | 430 WEST 20TH ST, Newton, NC, 28658 |
| Phone | 8284649220 |
| Fax | 8284649234 |
| Enumeration date | 2006-04-04 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223P0221X | Pediatric Dentistry | Primary | 3233 | NC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8998815 | Medicaid | NC | — |
| 98815 | Other | NC | BCBS |
Copy-ready billing details
Provider: Pendleton Waldron, DDS PA NPI: 1093777120 Taxonomy: 1223P0221X (Pediatric Dentistry) Address: 430 WEST 20TH ST, Newton, NC, 28658
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1841236916 | Dr Ronald R Key DDS PA | Organization | Dental Clinic/Center | Newton, NC |
| 1720251796 | Pendleton G Waldron DDS | Organization | Pediatric Dentistry | Newton, NC |
Verify this record
Cross-check NPI 1093777120 against the authoritative CMS record: view Dr. Pendleton Glass Waldron on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Pendleton Waldron?
Where does Pendleton Waldron practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.