Concord Pediatric Dentistry

LBN: Kerry A. Dove, Dmd Ms, Pllc
Concord Pediatric Dentistry is an health care organization with primary practice located at 5641 Poplar Tent Rd , Concord NC 28027-7533. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Kerry A. Dove, Dmd Ms, Pllc can be contacted via phone (704) 795-2300, or through Dove, Kerry Anzenberger via phone (704) 795-2300.

Contact Information

Primary practice address
5641 Poplar Tent Rd Concord NC 28027-7533
Phone: (704) 795-2300
Fax: (704) 795-2301
Website:
Map and Directions
Authorized official contact:
Name: Dove, Kerry Anzenberger DMD MS
Phone: (704) 795-2300

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 8845 North Carolina

Profile Details

NPI number 1245633650
LBN Legal business name Kerry A. Dove, Dmd Ms, Pllc
DBA Doing business as Concord Pediatric Dentistry
Authorized official Dove, Kerry Anzenberger DMD MS
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2014
Last updated Sep 30th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245633650 NPPES
North Carolina MEDICAID 1942430939

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