| South Lake Pediatric Dentistry | |
|
9625 Northcross Center Ct Suite: 101 Huntersville NC 28078-7348 | |
| (704) 875-9075 | |
| Not Available |
| Full Name | South Lake Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9625 Northcross Center Ct, Huntersville, North Carolina |
| Authorized Official Name and Position | Yaimara Diaz (OFFICE MANAGER) |
| Authorized Official Contact | 7048759075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Lake Pediatric Dentistry 9625 Northcross Center Ct Suite: 101 Huntersville NC 28078-7348 Ph: () - | South Lake Pediatric Dentistry 9625 Northcross Center Ct Suite: 101 Huntersville NC 28078-7348 Ph: (704) 875-9075 |
| NPI Number | 1154673846 |
|---|---|
| Provider Enumeration Date | 10/05/2012 |
| Last Update Date | 10/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154673846 | NPI | - | NPPES |
| 1386752061 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 7221 (North Carolina) | Primary |
The Center For Oral & Maxillofacial Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10210 Hickorywood Hill Ave, Suite 200, Huntersville, NC 28078 Phone: 704-875-8833 Fax: 704-875-0303 | |
Kisha Steele Mitchell Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10115 Hickorywood Hill Ave, Huntersville, NC 28078 Phone: 704-948-8494 Fax: 704-948-8482 | |
Dr Reimels Huntersville Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13605 Reese Blvd E, Huntersville, NC 28078 Phone: 704-948-1111 | |
Ideal Dental Huntersville Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14227 Boren Street, Ste 102, Huntersville, NC 28078 Phone: 704-949-3071 | |
M Yaghi Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16511 Northcross Dr Ste F, Huntersville, NC 28078 Phone: 704-439-3601 Fax: 704-987-9669 | |
Tate C Langdon Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10210 Hickorywood Hill Ave, Ste 100, Huntersville, NC 28078 Phone: 704-875-0123 Fax: 704-875-0646 |