# BIRKDALE FAMILY AND COSMETIC DENTISTRY

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

## Provider details

- **NPI number:** 1396084216
- **Authorized official:** LARRY COMPTON (OWNER)
- **Authorized official phone:** (704) 896-5225

## Contact information

- **Practice address:** 8712 LINDHOLM DR, SUITE 200, HUNTERSVILLE, NC 28078-1870
- **Practice address phone:** (704) 896-5225
- **Mailing address:** 8712 LINDHOLM DR, SUITE 200, HUNTERSVILLE, NC 28078-1870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8141 | NC | Yes |

## Other

- **Enumeration date:** 02/13/2013
- **Last updated:** 02/13/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5918849 | — | NC |