# BRIAN P MCNULTY & LUIS L DANCAUSSE, DDS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** McNulty & Dancausse General Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063632644
- **Authorized official:** DR. BRIAN PATRICK MCNULTY D.D.S (PARTNER)
- **Authorized official phone:** (704) 596-3186

## Contact information

- **Practice address:** 3014 BAUCOM RD, SUITE 200, CHARLOTTE, NC 28269-0985
- **Practice address phone:** (704) 596-3186
- **Practice address fax:** (704) 597-5151
- **Mailing address:** 3014 BAUCOM RD, SUITE 200, CHARLOTTE, NC 28269-0985
- **Mailing address phone:** (704) 596-3186
- **Mailing address fax:** (704) 597-5151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 07/24/2008