# PHILLIPPI AND KWON DENTISTRY PARTNERSHIP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326077694
- **Authorized official:** DR. PAUL JEFFREY PHILLIPPI D.D.S. (GENERAL PARTNER)
- **Authorized official phone:** (704) 509-4513

## Contact information

- **Practice address:** 2770 E WT HARRIS BLVD, SUITE 102, CHARLOTTE, NC 28213-4096
- **Practice address phone:** (704) 509-4513
- **Practice address fax:** (704) 509-4516
- **Mailing address:** 2770 E WT HARRIS BLVD, SUITE 102, CHARLOTTE, NC 28213-4096
- **Mailing address phone:** (704) 509-4513
- **Mailing address fax:** (704) 509-4516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5170 | NC | Yes |
| 1223G0001X | General Practice Dentistry | 6838 | NC | — |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 89014V2 | — | NC |