Southend Dentistry is a Dental Clinic in Charlotte, North Carolina. It is located at 1520 South Blvd, Suite 110, Charlotte, NC and its contact number is 704-335-8266. The authorized person for Southend Dentistry is Dr. Bradford Lee Picot
who is Owner/dentist of the clinic and their contact number is 704-335-8266. The primary license number for Southend Dentistry is 8158 (General Practice) in North Carolina. Southend Dentistry Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Southend Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Southend Dentistry
Specialization:
General Practice Dentistry
Clinic Address:
1520 South Blvd, Suite 110, Charlotte, North Carolina, 28203-4786
Phone:
704-335-8266
Fax:
704-335-8267
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:
Dr. Bradford Lee Picot
Position:
Owner/dentist
Contact Number:
704-335-8266
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 Southend Dentistry clinic are as mentioned below.
NPI Number:
1003048752
NPI Enumeration Date:
13 Aug, 2009
NPI Last Update On:
13 Aug, 2009
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southend Dentistry are as mentioned below.
Specialization
License Number
State
Status
General Practice
8158
North Carolina
Primary
Health Maintenance Organization
8158
North Carolina
Secondary
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
5908420
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:
Southend Dentistry 1520 South Blvd, Suite 110 Charlotte, North Carolina
Zip:
28203-4786
Phone Number:
704-335-8266
Fax Number:
704-335-8267
Patients can reach Southend Dentistry at 1520 South Blvd, Suite 110, Charlotte, North Carolina or can call to book an appointment on 704-335-8266. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.