CAROLINAS CENTER FOR AMBULATORY DENTISTRY LLC NPI 1720573587

NPI Information

NPI: 1720573587
Provider Name: CAROLINAS CENTER FOR AMBULATORY DENTISTRY LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 34D1057423

Address:
8415 MEDICAL PLAZA DRICE
CHARLOTTE, NC
ZIP 28262
Phone: (910) 485-7070
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CAROLINAS CENTER FOR AMBULATORY DENTISTRY LLC is an ambulatory surgical clinic center in Charlotte, NC. CAROLINAS CENTER FOR AMBULATORY DENTISTRY LLC NPI is 1720573587. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8415 MEDICAL PLAZA DRICE
CHARLOTTE, NC
ZIP 28262
Phone: (910) 485-7070

The provider's authorized official is Virginia T Jones .
The authorized official title is Ceo and has the following contact phone number (910) 485-7070.

The CLIA number assigned to this NPI record is 34D1057423 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2018 and was last updated on 3/12/2024.

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	Primary
1	1223D0004X	Dentist	Dentist Anesthesiologist	No
2	1223E0200X	Dentist	Endodontics	No
3	1223P0106X	Dentist	Oral and Maxillofacial Pathology	No
4	1223P0221X	Dentist	Pediatric Dentistry	No
5	1223P0300X	Dentist	Periodontics	No
6	1223S0112X	Dentist	Oral and Maxillofacial Surgery	No
7	1223X0008X	Dentist	Oral and Maxillofacial Radiology	No
8	163WP0200X	Registered Nurse	Pediatrics	No
9	204E00000X	Oral & Maxillofacial Surgery		No
10	2086S0127X	Surgery	Trauma Surgery	No
11	261QA1903X	Clinic/Center	Ambulatory Surgical	Yes
12	363AM0700X	Physician Assistant	Medical	No

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

NPI Synchronization or Removal

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