Purple Tooth Dental

LBN: Purple Tooth Dental
Purple Tooth Dental is an health care organization with primary practice located at 112 Woodlawn Ave , Mt Holly NC 28120-1775. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Purple Tooth Dental can be contacted via phone (704) 885-2266, or through Mancini, Andy via phone (704) 885-2266.

Contact Information

Primary practice address
112 Woodlawn Ave Mt Holly NC 28120-1775
Phone: (704) 885-2266
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mancini, Andy
Phone: (704) 885-2266

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1841955945
LBN Legal business name Purple Tooth Dental
DBA Doing business as
Authorized official Mancini, Andy
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2021
Last updated Nov 6th, 2021 - about 3 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 1841955945 NPPES
North Carolina MEDICAID 1982835831

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