Broughton, Charlotte W

Broughton, Charlotte W is an individual health care provider with primary practice located at 140 Lockland Ave , Winston-Salem NC 27103-2709. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Broughton, Charlotte W can be contacted via phone (336) 722-7534.

Contact Information

Primary practice address

140 Lockland Ave Winston-Salem NC 27103-2709

Phone: (336) 722-7534

Fax: (336) 722-4518

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / General Practice	1223G0001X	7114	North Carolina

Profile Details

NPI number	1366446205
LBN Legal business name	Broughton, Charlotte W
Credentials	Doctor of Dental Surgery (DDS)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jun 9th, 2005
Last updated	Jul 8th, 2007 - about 17 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1366446205	NPPES
North Carolina	MEDICAID	899013K

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