Ballantyne Endodontics | |
14135 Ballantyne Corporate Pl #215 Charlotte NC 28277-3383 | |
(704) 541-7017 | |
Not Available |
Full Name | Ballantyne Endodontics |
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Speciality | Dentist - Endodontics |
Location | 14135 Ballantyne Corporate Pl, Charlotte, North Carolina |
Authorized Official Name and Position | Mark Tadrissi (OWNER) |
Authorized Official Contact | 7045417017 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ballantyne Endodontics 14135 Ballantyne Corporate Pl #215 Charlotte NC 28277-3383 Ph: (704) 541-7017 | Ballantyne Endodontics 14135 Ballantyne Corporate Pl #215 Charlotte NC 28277-3383 Ph: (704) 541-7017 |
NPI Number | 1871951715 |
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Provider Enumeration Date | 02/07/2016 |
Last Update Date | 02/07/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871951715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 9377 (North Carolina) | Primary |
1223E0200X | Dentist - Endodontics | 8485 (North Carolina) | Secondary |
Stephen C. Wheeler, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Providence Rd, Charlotte, NC 28207 Phone: 704-377-1444 | |
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