Harley A. Ellinger in Charlotte - Periodontics
Harley A. Ellinger - NPI 1386649630
Harley A. Ellinger is a Periodontics in Charlotte, North Carolina. Harley A. Ellinger practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Harley A. Ellinger is 1386649630. The last update date is 2007-07-08.
Harley A. Ellinger's current location address is 3325 Springbank Ln, Charlotte, North Carolina. You can contact this provider via phone number 7045442224 and fax number 7045442259. The mailing address for Harley A. Ellinger is 3325 Springbank Ln, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Harley A. Ellinger |
|---|---|
| Address | 3325 Springbank Ln, Charlotte, North Carolina |
| Phone Number | 7045442224 |
| Fax Number | 7045442259 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1386649630 |
|---|---|
| Provider Enumeration Date | 2005-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3325 Springbank Ln |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 2822633640 |
| Phone Number | 7045442224 |
| Fax Number | 7045442259 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 3670 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3670 | NC | DENTAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Harley A. Ellinger by the Centers for Medicare & Medicaid Services?
The Harley A. Ellinger has been assigned the NPI (National Provider Identifier) 1386649630 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Harley A. Ellinger is physically located?
The Harley A. Ellinger is situated at the following address: 3325 Springbank Ln, Charlotte, NC 2822633640.
What is Harley A. Ellinger's area of expertise and its corresponding taxonomy classification?
The Harley A. Ellinger's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386649630 to Harley A. Ellinger?
The Centers for Medicare & Medicaid Services originally issued the 1386649630 to Harley A. Ellinger on 2005-06-14.
As of what date were the details pertaining to Harley A. Ellinger last refreshed?
The information related to the Harley A. Ellinger, including its address, specialty, and other relevant details, was last updated on 2007-07-08.