Mecklenburg County Dentistry
LBN: Mecklenburg County
Mecklenburg County Dentistry is an health care organization with primary practice located at 1801 Rozzelles Ferry Rd , Charlotte NC 28208-4228. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Public Health, State or Local. Dental Providers / Dental Public Health is the primary health care specialty.
Mecklenburg County can be contacted via phone (704) 350-7305, or through Mabry, Earl Winters via phone (704) 336-2299.
Contact Information
Primary practice address
1801 Rozzelles Ferry Rd
Charlotte NC 28208-4228
Phone: (704) 350-7305
Fax: (704) 350-7304
Website:
Authorized official contact:
Name: Mabry, Earl Winters Doctor of Medicine (MD)
Phone: (704) 336-2299
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | ||
| Ambulatory Health Care Facilities / Dental | 261QD0000X | ||
| Ambulatory Health Care Facilities / Public Health, State or Local | 261QP0905X |
Profile Details
| NPI number | 1639195241 |
|---|---|
| LBN Legal business name | Mecklenburg County |
| DBA Doing business as | Mecklenburg County Dentistry |
| Authorized official | Mabry, Earl Winters Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Dec 13th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639195241 | NPPES |
| North Carolina | Other | 015N0 | NC HEALTH CHOICE GROUP # |
| North Carolina | MEDICAID | 89015N0 | NC HEALTH CHOICE GROUP # |
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