| University Dental Associates | |
|
8401 University Exec Park Dr Ste 110 Charlotte NC 28262-1360 | |
| (704) 547-1970 | |
| (704) 547-1926 |
| Full Name | University Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 8401 University Exec Park Dr Ste 110, Charlotte, North Carolina |
| Authorized Official Name and Position | Scott F Tucker (PRESIDENT) |
| Authorized Official Contact | 7812133336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Dental Associates Po Box 505117 Saint Louis MO 63150-5117 Ph: (781) 213-3336 | University Dental Associates 8401 University Exec Park Dr Ste 110 Charlotte NC 28262-1360 Ph: (704) 547-1970 |
| NPI Number | 1063589711 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 01/14/2021 |
| Medicare PECOS PAC ID | 5799753547 |
|---|---|
| Medicare Enrollment ID | O20040920001231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063589711 | NPI | - | NPPES |
| 8993101 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Raymond S Garrison |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1952491102 PECOS PAC ID: 7315103355 Enrollment ID: I20120719000443 |
| Provider Name | Judith K Messura |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134230741 PECOS PAC ID: 0042476087 Enrollment ID: I20120720000008 |
Stephen C. Wheeler, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Providence Rd, Charlotte, NC 28207 Phone: 704-377-1444 | |
George J Stuart Jr Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2040 A Randolph Rd, Charlotte, NC 28207 Phone: 704-377-1885 Fax: 704-374-1731 | |
Southend Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 South Blvd, Suite 110, Charlotte, NC 28203 Phone: 704-335-8266 Fax: 704-335-8267 | |
Monique D Mceachern Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10226 Couloak Drive, Ste 100, Charlotte, NC 28216 Phone: 704-971-7272 Fax: 704-971-7522 | |
Drs Reimels & Miller Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 Central Ave, Charlotte, NC 28205 Phone: 704-900-7301 | |
South Park Oral Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2719 Coltsgate Rd, Charlotte, NC 28211 Phone: 704-366-8707 Fax: 704-366-8717 | |
Raynald L. Desameau Dmd Pllc Iv Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10460 Park Rd, Charlotte, NC 28210 Phone: 704-540-5440 |