Organization · Type 2 NPI

The Charlotte-Mecklenburg Hospital Authority

Dentist · Charlotte, NC

NPI number 1104289685 Active

Practice location

1601 Abbey Pl, Ste 220
Charlotte, NC 28209-3835

Call (704) 512-2110 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed
Oral and Maxillofacial Surgery (Dentist) 1223S0112XNone listed
Oral Medicine Dentistry 125Q00000XNone listed
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1104289685

The Charlotte-Mecklenburg Hospital Authority's National Provider Identifier is 1104289685, issued on Apr 1, 2016. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Charlotte, NC. The record was last updated on Oct 22, 2026.