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BROOKDALE DENTAL CARE NPI 1831392844


NPI Information

NPI: 1831392844
Provider Name: BROOKDALE DENTAL CARE

Other Name: KONG VANG DMD,PA

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
9621 BROOKDALE DR STE 200
CHARLOTTE, NC
ZIP 28215
Phone: (704) 597-7772
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BROOKDALE DENTAL CARE 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. BROOKDALE DENTAL CARE NPI is 1831392844. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Kong Vang Dmd,pa.

The provider's business location address is:

9621 BROOKDALE DR STE 200
CHARLOTTE, NC
ZIP 28215-786
Phone: (704) 597-7772
Fax: (704) 597-7078

The provider's authorized official is Kong Vang .
The authorized official title is Dentist and has the following contact phone number (704) 597-7772.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 4/9/2008.


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
11223G0001XDentistGeneral Practice7388NORTH CAROLINAYes

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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