STUCKEY & MUDD DDS NPI 1992976559

NPI Information

NPI: 1992976559
Provider Name: STUCKEY & MUDD DDS

Doing Business As: SOUTHPARK DENTISTRY

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

Specialization: Dental

Address:
6865 FAIRVIEW RD
SUITE A
CHARLOTTE, NC
ZIP 28210
Phone: (704) 364-9686
Get Directions

STUCKEY & MUDD DDS is a dental clinic center in Charlotte, NC. STUCKEY & MUDD DDS NPI is 1992976559. The provider is registered as an organization entity type.
The provider Is Doing Business As Southpark Dentistry.

The provider's business location address is:

6865 FAIRVIEW RD
SUITE A
CHARLOTTE, NC
ZIP 28210-700
Phone: (704) 364-9686

The provider's authorized official is Douglas Stuckey .
The authorized official title is General Partner and has the following contact phone number (704) 364-9686.

The enumeration date for this NPI number is 3/21/2008 and was last updated on 3/21/2008.

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	NC 7310	NORTH CAROLINA	No
2	261QD0000X	Clinic/Center	Dental	NC5980	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

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