| Southend Dentistry | |
|
1520 South Blvd Suite 110 Charlotte NC 28203-4786 | |
| (704) 335-8266 | |
| (704) 335-8267 |
| Full Name | Southend Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1520 South Blvd, Charlotte, North Carolina |
| Authorized Official Name and Position | Bradford Lee Picot (OWNER/DENTIST) |
| Authorized Official Contact | 7043358266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southend Dentistry 1520 South Blvd Suite 110 Charlotte NC 28203-4786 Ph: (704) 335-8266 | Southend Dentistry 1520 South Blvd Suite 110 Charlotte NC 28203-4786 Ph: (704) 335-8266 |
| NPI Number | 1003048752 |
|---|---|
| Provider Enumeration Date | 08/13/2009 |
| Last Update Date | 08/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003048752 | NPI | - | NPPES |
| 5908420 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8158 (North Carolina) | Primary |
| 302R00000X | Health Maintenance Organization | 8158 (North Carolina) | Secondary |
Stephen C. Wheeler, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Providence Rd, Charlotte, NC 28207 Phone: 704-377-1444 | |
George J Stuart Jr Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2040 A Randolph Rd, Charlotte, NC 28207 Phone: 704-377-1885 Fax: 704-374-1731 | |
Monique D Mceachern Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10226 Couloak Drive, Ste 100, Charlotte, NC 28216 Phone: 704-971-7272 Fax: 704-971-7522 | |
Drs Reimels & Miller Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 Central Ave, Charlotte, NC 28205 Phone: 704-900-7301 | |
South Park Oral Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2719 Coltsgate Rd, Charlotte, NC 28211 Phone: 704-366-8707 Fax: 704-366-8717 | |
Raynald L. Desameau Dmd Pllc Iv Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10460 Park Rd, Charlotte, NC 28210 Phone: 704-540-5440 |