Charles William Connor in Gastonia - Pediatric Dentistry

Charles William Connor - NPI 1538191960

Charles William Connor is a Pediatric Dentistry in Gastonia, North Carolina. Charles William Connor practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Charles William Connor is 1538191960. The last update date is 2012-04-24.

Charles William Connor's current location address is 1146 N New Hope Rd, Gastonia, North Carolina. You can contact this provider via phone number 7048656425 and fax number 7048652568. The mailing address for Charles William Connor is 1146 N New Hope Rd, Gastonia, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles William Connor
Address 1146 N New Hope Rd, Gastonia, North Carolina
Phone Number 7048656425
Fax Number 7048652568
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1538191960
Provider Enumeration Date 2006-07-07
Last Updated Date 2012-04-24

Provider Mailing Address Detail

Address 1146 N New Hope Rd
City Gastonia
State North Carolina (NC)
Post Code 280542959
Phone Number 7048656425
Fax Number 7048652568

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 4623
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
91768 NC BCBS/NORTH CAROLINA
UNITED CONCORDI NC 417217
8991768 NC --

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FAQs about Charles William Connor

What is the unique provider identifier assigned to Charles William Connor?

The Charles William Connor has been issued the NPI (National Provider Identifier) 1538191960 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Charles William Connor is physically located?

The Charles William Connor is situated at the following address: 1146 N New Hope Rd, Gastonia, NC 280542959.

What is Charles William Connor's specialized field of practice, and what is the corresponding taxonomy classification code?

The Charles William Connor's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

On what date did the Charles William Connor receive its 1538191960 assignment from the Centers for Medicare & Medicaid Services?

The Charles William Connor was assigned its 1538191960 by the Centers for Medicare & Medicaid Services on 2006-07-07.

As of what date was the information pertaining to Charles William Connor, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Charles William Connor, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-04-24.

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