Park Cedar Dentistry

LBN: Park Cedar Dentistry Partnership
Park Cedar Dentistry is an health care organization with primary practice located at 10027 Park Cedar Dr Ste 100, Charlotte NC 28210-8903. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is the primary health care specialty. Park Cedar Dentistry Partnership can be contacted via phone (704) 752-0500, or through Caldwell, Summer L via phone (704) 752-0500.

Contact Information

Primary practice address
10027 Park Cedar Dr Ste 100 Charlotte NC 28210-8903
Fax: (704) 752-0502
Website:
Authorized official contact:
Name: Caldwell, Summer L Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9488 North Carolina
Dental Providers / General Practice 1223G0001X 7809 North Carolina

Profile Details

NPI number 1063415032
LBN Legal business name Park Cedar Dentistry Partnership
DBA Doing business as Park Cedar Dentistry
Authorized official Caldwell, Summer L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Feb 10th, 2015 - about 9 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 1063415032 NPPES
North Carolina Other 98190 BLUE CROSS BLUE SHIELD

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