# MCCONNELL AND MCCONNELL DDS PA

> 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:** MCCONNELL FAMILY DENTISTRY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316013188
- **Authorized official:** DR. MARK E MCCONNELL DDS (PRESIDENT)
- **Authorized official phone:** (704) 799-9854

## Contact information

- **Practice address:** 118 KENDRA DR, MOORESVILLE, NC 28117-5816
- **Practice address phone:** (704) 660-3540
- **Practice address fax:** (704) 660-3354
- **Mailing address:** 136 SUNRISE CIR, MOORESVILLE, NC 28117-6675
- **Mailing address phone:** (704) 799-9854
- **Mailing address fax:** (704) 660-3354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6842 | NC | — |
| 1223G0001X | General Practice Dentistry | 7009 | NC | Yes |

## Other

- **Enumeration date:** 11/25/2006
- **Last updated:** 08/22/2020