NPI 1962861278 · live from the CMS NPI Registry
Alan A Godel & Justin P Hannon
Dentist in Monroe, NC. National Provider Identifier 1962861278, active.
NPI record
| NPI | 1962861278 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1228 W Roosevelt Blvd, Monroe, NC 28110 |
| Practice phone | 704-218-2500 |
| Enumerated | February 15, 2016 |
| Last updated | February 15, 2016 |
| Authorized official | Alan Godel, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 9056 (NC) |
| Dentist primary | 122300000X | 7564 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.