Connor, Charles William

Connor, Charles William is an sole proprietor health care provider with primary practice located at 1146 N New Hope Rd , Gastonia NC 28054-2959. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Connor, Charles William can be contacted via phone (704) 865-6425.

Contact Information

Primary practice address
1146 N New Hope Rd Gastonia NC 28054-2959
Phone: (704) 865-6425
Fax: (704) 865-2568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 4623 North Carolina

Profile Details

NPI number 1538191960
LBN Legal business name Connor, Charles William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Apr 24th, 2012 - about 13 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

StateTypeNumberIssuer
All States NPI 1538191960 NPPES
North Carolina Other 91768 BCBS/NORTH CAROLINA
North Carolina Other UNITED CONCORDIA BCBS/NORTH CAROLINA
North Carolina MEDICAID 8991768 BCBS/NORTH CAROLINA

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