Dr. Detra Kashon Brooks is a Charlotte, North Carolina based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Detra Kashon Brooks is 6545 for General Practice Dentistry in North Carolina. Her current practice location is 2225 E Wt Harris Blvd, Suite 100, Charlotte. Patients can reach her at 704-494-4050.
Dr. Detra Kashon Brooks is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Detra Kashon Brooks speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Detra Kashon Brooks
Specialization:
Dentist
Gender:
Female
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
2225 E Wt Harris Blvd, Suite 100, Charlotte, North Carolina, 28213-5138
Phone:
704-494-4050
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 are as mentioned below.
NPI Number:
1821252958
NPI Enumeration Date:
17 Jul, 2008
NPI Last Update On:
17 Jul, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Detra Kashon Brooks are as mentioned below.
License Number
Specialization
State
Status
6545
General Practice Dentistry
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Detra Kashon Brooks such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
899006N
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:
2225 E Wt Harris Blvd, Suite 100 Charlotte, North Carolina
Zip:
28213-5138
Phone Number:
704-494-4050
Patients can reach Dr. Detra Kashon Brooks at 2225 E Wt Harris Blvd, Suite 100, Charlotte, North Carolina or can call to book an appointment on 704-494-4050. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.