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NPI 1497824973 · live from the CMS NPI Registry

Marc Edward Allen

Dentist, Orthodontics and Dentofacial Orthopedics in Charlotte, NC. National Provider Identifier 1497824973, active.

NPI record

NPI1497824973 Type 1 · individual
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location2915 Coltsgate Rd, Suite 102, Charlotte, NC 28211
Practice phone704-364-7343
EnumeratedNovember 7, 2006
Last updatedJuly 8, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400X6646 (NC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.