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PARK CEDAR DENTISTRY PARTNERSHIP NPI 1063415032


NPI Information

NPI: 1063415032
Provider Name: PARK CEDAR DENTISTRY PARTNERSHIP

Doing Business As: PARK CEDAR DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
10027 PARK CEDAR DR
STE 100
CHARLOTTE, NC
ZIP 28210
Phone: (704) 752-0500
Get Directions

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist9488NORTH CAROLINANo
21223G0001XDentistGeneral Practice7809NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
198190OTHERNORTH CAROLINABLUE 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: 4/28/2024

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