BRADFORD L PICOT DDS P.A. NPI 1003048752

NPI Information

BRADFORD L PICOT, DDS, P.A. is a general practice dentist in Charlotte, NC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BRADFORD L PICOT, DDS, P.A. NPI is 1003048752. The provider is registered as an organization entity type.
The provider Is Doing Business As Southend Dentistry.

The provider's business location address is:

1520 SOUTH BLVD
SUITE 110
CHARLOTTE, NC
ZIP 28203-786
Phone: (704) 335-8266
Fax: (704) 335-8267

The provider's authorized official is Bradford Lee Picot .
The authorized official title is Owner/dentist and has the following contact phone number (704) 335-8266.

The enumeration date for this NPI number is 8/13/2009 and was last updated on 8/13/2009.

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:

Other Identifiers

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