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DILWORTH FACIAL PLASTIC SURGERY PLLC NPI 1376917633


NPI Information

NPI: 1376917633
Provider Name: DILWORTH FACIAL PLASTIC SURGERY, PLLC
Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

Address:
1819 LYNDHURST AVE
CHARLOTTE, NC
ZIP 28203
Phone: (980) 949-6544
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DILWORTH FACIAL PLASTIC SURGERY, PLLC is a facial plastic surgery otolaryngology in Charlotte, NC. The provider is an otolaryngologist who specializes in facial plastic surgery. DILWORTH FACIAL PLASTIC SURGERY, PLLC NPI is 1376917633. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1819 LYNDHURST AVE
CHARLOTTE, NC
ZIP 28203-103
Phone: (980) 949-6544
Fax: (980) 422-0091

The provider's authorized official is Joshua B Surowitz .
The authorized official title is Co-owner and has the following contact phone number (919) 619-0383.

The enumeration date for this NPI number is 11/23/2015 and was last updated on 4/10/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngology2013-00940NORTH CAROLINANo
2207YX0007XOtolaryngologyPlastic Surgery within the Head & Neck2013-00940NORTH CAROLINANo
32086S0122XSurgeryPlastic and Reconstructive Surgery2013-00940NORTH CAROLINANo
4207YS0123XOtolaryngologyFacial Plastic Surgery2013-00940NORTH CAROLINAYes

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: 4/28/2024

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