NPI 1104657626 · live from the CMS NPI Registry
Drs Groody And Reimels Leland PLLC
Dentist, Orthodontics and Dentofacial Orthopedics in Leland, NC. National Provider Identifier 1104657626, active.
NPI record
| NPI | 1104657626 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 117 Village Rd Ne Ste H, Leland, NC 28451 |
| Practice phone | 910-371-5664 |
| Mailing address | Po Box 2249, Huntersville, NC 28070 |
| Enumerated | August 8, 2024 |
| Last updated | August 8, 2024 |
| Authorized official | Amanda Groeschel, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.