Pediatric Dentistry Of Matthews

LBN: Pediatric Dentistry Of Matthews
Pediatric Dentistry Of Matthews is an health care organization with primary practice located at 1340 Matthews Township Pkwy Suite 201, Matthews NC 28105-5580. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Pediatric Dentistry Of Matthews can be contacted via phone (704) 847-4717, or through Metheney, Trina via phone (704) 847-4717.

Contact Information

Primary practice address
1340 Matthews Township Pkwy Suite 201 Matthews NC 28105-5580
Phone: (704) 847-4717
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Metheney, Trina
Phone: (704) 847-4717

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 4847 North Carolina

Profile Details

NPI number 1104845270
LBN Legal business name Pediatric Dentistry Of Matthews
DBA Doing business as
Authorized official Metheney, Trina
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1104845270 NPPES
North Carolina MEDICAID 890103X

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