CAROLINAS CENTER FOR ORAL HEALTH NPI 1245470285

NPI Information

NPI: 1245470285
Provider Name: CAROLINAS CENTER FOR ORAL HEALTH
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 34D2146864

Address:
1601 ABBEY PL
SUITE 220
CHARLOTTE, NC
ZIP 28209
Phone: (704) 512-2110
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CAROLINAS CENTER FOR ORAL HEALTH is a dental clinic center in Charlotte, NC. CAROLINAS CENTER FOR ORAL HEALTH NPI is 1245470285. The provider is registered as an organization entity type.

The provider's business location address is:

1601 ABBEY PL
SUITE 220
CHARLOTTE, NC
ZIP 28209-835
Phone: (704) 512-2110
Fax: (704) 512-2115

The provider's authorized official is Michael John Vanderbaan .
The authorized official title is Operations Manager and has the following contact phone number (704) 512-2117.

The CLIA number assigned to this NPI record is 34D2146864 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2009 and was last updated on 12/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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