South Lake Pediatric Dentistry is a Pediatric Dental Clinic in Huntersville, North Carolina. It is located at 9625 Northcross Center Ct, Suite: 101, Huntersville, NC and its contact number is 704-875-9075. The authorized person for South Lake Pediatric Dentistry is Mrs. Yaimara Diaz
who is Office Manager of the clinic and their contact number is 704-875-9075. Other organizations associated with this clinic are Dr Frank Kendrick Dmd-huntersville Pa, Thome & Kendrick Dds Pllc, Southlake Family And Cosmetic Dentistry, The primary license number for South Lake Pediatric Dentistry is 7221 (Pediatric Dentistry) in North Carolina. South Lake Pediatric Dentistry Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
South Lake Pediatric Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
South Lake Pediatric Dentistry
Specialization:
Pediatric Dentistry
Clinic Address:
9625 Northcross Center Ct, Suite: 101, Huntersville, North Carolina, 28078-7348
Phone:
704-875-9075
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Yaimara Diaz
Position:
Office Manager
Contact Number:
704-875-9075
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for South Lake Pediatric Dentistry clinic are as mentioned below.
NPI Number:
1154673846
NPI Enumeration Date:
05 Oct, 2012
NPI Last Update On:
05 Oct, 2012
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Dr Frank Kendrick Dmd-huntersville Pa
Pediatric Dentistry
1154673846
Thome & Kendrick Dds Pllc
General Practice Dentistry
1538935432
Southlake Family And Cosmetic Dentistry
General Practice Dentistry
1598131575
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Lake Pediatric Dentistry are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
7221
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1386752061
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
South Lake Pediatric Dentistry 9625 Northcross Center Ct, Suite: 101 Huntersville, North Carolina
Zip:
28078-7348
Phone Number:
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Patients can reach South Lake Pediatric Dentistry at 9625 Northcross Center Ct, Suite: 101, Huntersville, North Carolina or can call to book an appointment on 704-875-9075. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.