Distinctive Dentistry Of Charlotte

LBN: William Summerville Dds Pllc
Distinctive Dentistry Of Charlotte is an health care organization with primary practice located at 475 N Wendover Rd , Charlotte NC 28211-1064. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. William Summerville Dds Pllc can be contacted via phone (704) 540-5400, or through Blankenship, Mary via phone (704) 540-5400.

Contact Information

Primary practice address
475 N Wendover Rd Charlotte NC 28211-1064
Phone: (704) 540-5400
Fax: (704) 364-5293
Website:
Map and Directions
Authorized official contact:
Name: Blankenship, Mary
Phone: (704) 540-5400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1386681625
LBN Legal business name William Summerville Dds Pllc
DBA Doing business as Distinctive Dentistry Of Charlotte
Authorized official Blankenship, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated May 11th, 2021 - 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 1386681625 NPPES
North Carolina MEDICAID 5906062
North Carolina Other 018X3

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