Vernon Larry Booth in Charlotte - General Practice

Vernon Larry Booth - NPI 1235205006

Vernon Larry Booth is a General Practice in Charlotte, North Carolina. Vernon Larry Booth practices all healthcare services and medical treatments related to General Practice. The NPI Number for Vernon Larry Booth is 1235205006. The last update date is 2007-07-08.

Vernon Larry Booth's current location address is 3515 Randolph Rd, Charlotte, North Carolina. You can contact this provider via phone number 7043663622 and fax number 7043663698. The mailing address for Vernon Larry Booth is 3515 Randolph Rd, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Vernon Larry Booth
Address 3515 Randolph Rd, Charlotte, North Carolina
Phone Number 7043663622
Fax Number 7043663698
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1235205006
Provider Enumeration Date 2006-11-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3515 Randolph Rd
City Charlotte
State North Carolina (NC)
Post Code 282111032
Phone Number 7043663622
Fax Number 7043663698

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 4171
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Vernon Larry Booth

What is the Vernon Larry Booth's unique identification number?

The Vernon Larry Booth has been assigned the NPI (National Provider Identifier) Number 1235205006 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Vernon Larry Booth is physically located?

The Vernon Larry Booth is situated at the following address: 3515 Randolph Rd, Charlotte, NC 282111032.

What is Vernon Larry Booth's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Vernon Larry Booth is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Vernon Larry Booth receive the assignment of its 1235205006 from the Centers for Medicare & Medicaid Services?

The Vernon Larry Booth was issued its 1235205006 by the Centers for Medicare & Medicaid Services on 2006-11-25.

As of what date was the information regarding Vernon Larry Booth, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Vernon Larry Booth, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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