| Carolina Kids Dentistry Mint Hill | |
|
5829 Phyliss Ln Mint Hill NC 28227-9031 | |
| (704) 790-0590 | |
| Not Available |
| Full Name | Carolina Kids Dentistry Mint Hill |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5829 Phyliss Ln, Mint Hill, North Carolina |
| Authorized Official Name and Position | Ryan Londry (OWNER) |
| Authorized Official Contact | 7049978878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Kids Dentistry Mint Hill 20311 Chartwell Center Dr. Po Box #2127 Cornelius NC 28031-4056 Ph: (704) 997-8878 | Carolina Kids Dentistry Mint Hill 5829 Phyliss Ln Mint Hill NC 28227-9031 Ph: (704) 790-0590 |
| NPI Number | 1164281275 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164281275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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