BOU MJAHEDDDSPLLC NPI 1790279628

NPI Information

NPI: 1790279628
Provider Name: BOU MJAHED,DDS,PLLC

Doing Business As: DISTRICT DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
328 W CARSON BLVD STE 100
CHARLOTTE, NC
ZIP 28203
Phone: (704) 277-6718
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BOU MJAHED,DDS,PLLC is a dental clinic center in Charlotte, NC. BOU MJAHED,DDS,PLLC NPI is 1790279628. The provider is registered as an organization entity type.
The provider Is Doing Business As District Dentistry.

The provider's business location address is:

328 W CARSON BLVD STE 100
CHARLOTTE, NC
ZIP 28203-024
Phone: (704) 277-6718

The provider's authorized official is Khalil Mjahed .
The authorized official title is Owner/dentist and has the following contact phone number (704) 277-6718.

The enumeration date for this NPI number is 6/14/2018 and was last updated on 6/14/2018.

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	9511	NORTH CAROLINA	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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