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:
Map and Directions
Authorized official contact:
Name: Mabry, Earl Winters Doctor of Medicine (MD)
Phone: (704) 336-2299

Health care specialties

SpecialtyCodeLicense #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 14 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 1639195241 NPPES
North Carolina Other 015N0 NC HEALTH CHOICE GROUP #
North Carolina MEDICAID 89015N0 NC HEALTH CHOICE GROUP #

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