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WILLIAM S. KIRK JR DDS PA NPI 1477728764


NPI Information

NPI: 1477728764
Provider Name: WILLIAM S. KIRK JR DDS PA
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
600 S COLLEGE ST
SUITE 1100
CHARLOTTE, NC
ZIP 28202
Phone: (704) 332-3701
Get Directions

WILLIAM S. KIRK JR DDS PA is an oral and maxillofacial surgery dentist in Charlotte, NC. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. WILLIAM S. KIRK JR DDS PA NPI is 1477728764. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 S COLLEGE ST
SUITE 1100
CHARLOTTE, NC
ZIP 28202-825
Phone: (704) 332-3701
Fax: (704) 335-1835

The provider's authorized official is William S Kirk .
The authorized official title is Owner and has the following contact phone number (704) 332-3701.

The enumeration date for this NPI number is 4/28/2008 and was last updated on 5/7/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist4501NORTH CAROLINANo
21223P0106XDentistOral and Maxillofacial Pathology4501NORTH CAROLINANo
31223X0008XDentistOral and Maxillofacial Radiology4501NORTH CAROLINANo
41223S0112XDentistOral and Maxillofacial Surgery4501NORTH 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
18994940MEDICAIDNORTH CAROLINA

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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