| South Boulevard Dental | |
|
2400 South Blvd Suite 201 Charlotte NC 28203-5159 | |
| (980) 819-1817 | |
| Not Available |
| Full Name | South Boulevard Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2400 South Blvd, Charlotte, North Carolina |
| Authorized Official Name and Position | Sarah Belle Rogers (OFFICE MANAGER) |
| Authorized Official Contact | 9808191817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Boulevard Dental 2400 South Blvd Suite 201 Charlotte NC 28203-5159 Ph: (980) 819-1817 | South Boulevard Dental 2400 South Blvd Suite 201 Charlotte NC 28203-5159 Ph: (980) 819-1817 |
| NPI Number | 1053859090 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 02/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053859090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | NC7145 (North Carolina) | Primary |
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