PARK CEDAR DENTISTRY PARTNERSHIP NPI 1063415032

NPI Information

NPI: 1063415032
Provider Name: PARK CEDAR DENTISTRY PARTNERSHIP
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Doing Business As: PARK CEDAR DENTISTRY
Address: 10027 PARK CEDAR DR
STE 100
CHARLOTTE, NC
ZIP 28210
Phone: (704) 752-0500

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NPI Details

PARK CEDAR DENTISTRY PARTNERSHIP 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. PARK CEDAR DENTISTRY PARTNERSHIP NPI is 1063415032. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Park Cedar Dentistry.

The provider's business location address is:

10027 PARK CEDAR DR
STE 100
CHARLOTTE, NC
ZIP 28210-903
Phone: (704) 752-0500
Fax: (704) 752-0502

The provider's authorized official is Summer L Caldwell .
The authorized official title is Partner and has the following contact phone number (704) 752-0500.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 2/10/2015.

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	122300000X	Dentist		9488	NORTH CAROLINA	No
2	1223G0001X	Dentist	General Practice	7809	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	98190	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD

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: 11/21/2025

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