| Evan Novick Dmd Pa | |
|
3535 Randolph Rd Ste 101 Charlotte NC 28211-1067 | |
| (704) 366-3452 | |
| Not Available |
| Full Name | Evan Novick Dmd Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 3535 Randolph Rd Ste 101, Charlotte, North Carolina |
| Authorized Official Name and Position | Evan Novick (PRESIDENT) |
| Authorized Official Contact | 7812483493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Novick Dmd Pa 1619 Emory Oak Dr Charlotte NC 28270-9813 Ph: (781) 248-3493 | Evan Novick Dmd Pa 3535 Randolph Rd Ste 101 Charlotte NC 28211-1067 Ph: (704) 366-3452 |
| NPI Number | 1952891921 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 05/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952891921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 10443 (North Carolina) | Primary |
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