# GODEL & ASSOCIATES IV PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Monroe Pediatric Dentistry and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396528881
- **Authorized official:** ERICA BEACH (OPERATIONS MANAGER)
- **Authorized official phone:** (704) 689-1412

## Contact information

- **Practice address:** 1303 DOVE ST, MONROE, NC 28112-5012
- **Practice address phone:** (704) 689-1412
- **Mailing address:** 6655 E WILKINSON BLVD, BELMONT, NC 28012-4706
- **Mailing address phone:** (704) 689-1412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2023
- **Last updated:** 08/17/2023