| Long Creek Family Dental | |
|
8150 Mount Holly Huntersville Rd Suite A Charlotte NC 28216-9791 | |
| (610) 202-3230 | |
| Not Available |
| Full Name | Long Creek Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8150 Mount Holly Huntersville Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Patrice Lissade (CO-OWNER) |
| Authorized Official Contact | 6102023230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Creek Family Dental 8150 Mount Holly Huntersville Rd Suite A Charlotte NC 28216-9791 Ph: (610) 202-3230 | Long Creek Family Dental 8150 Mount Holly Huntersville Rd Suite A Charlotte NC 28216-9791 Ph: (610) 202-3230 |
| NPI Number | 1073853263 |
|---|---|
| Provider Enumeration Date | 02/25/2013 |
| Last Update Date | 04/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073853263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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