Southpark Dentistry

LBN: Stuckey & Mudd Dds
Southpark Dentistry is an health care organization with primary practice located at 6865 Fairview Rd Suite A, Charlotte NC 28210-2700. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Stuckey & Mudd Dds can be contacted via phone (704) 364-9686, or through Stuckey, Douglas via phone (704) 364-9686.

Contact Information

Primary practice address
6865 Fairview Rd Suite A Charlotte NC 28210-2700
Phone: (704) 364-9686
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stuckey, Douglas Doctor of Dental Surgery (DDS)
Phone: (704) 364-9686

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X NC5980 North Carolina
Ambulatory Health Care Facilities / Dental 261QD0000X NC 7310 North Carolina

Profile Details

NPI number 1992976559
LBN Legal business name Stuckey & Mudd Dds
DBA Doing business as Southpark Dentistry
Authorized official Stuckey, Douglas Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2008
Last updated Mar 21st, 2008 - about 18 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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