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SCOTT L WEINSTEIN DDS PA NPI 1730373655


NPI Information

NPI: 1730373655
Provider Name: SCOTT L WEINSTEIN DDS PA

Doing Business As: BALLANTYNE PEDIATRIC DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
12105 COPPER WAY
SUITE 102
CHARLOTTE, NC
ZIP 28277
Phone: (704) 752-1900
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SCOTT L WEINSTEIN DDS PA is a pediatric dentistry dentist in Charlotte, NC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. SCOTT L WEINSTEIN DDS PA NPI is 1730373655. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ballantyne Pediatric Dentistry.

The provider's business location address is:

12105 COPPER WAY
SUITE 102
CHARLOTTE, NC
ZIP 28277-756
Phone: (704) 752-1900
Fax: (704) 831-6444

The provider's authorized official is Scott Louis Weinstein .
The authorized official title is President and has the following contact phone number (704) 752-1900.

The enumeration date for this NPI number is 9/4/2007 and was last updated on 9/4/2007.


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
11223P0221XDentistPediatric Dentistry7083NORTH 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
189902RTMEDICAIDNORTH 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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