# WILLIAM S. KIRK JR DDS PA

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

## Provider details

- **NPI number:** 1477728764
- **Authorized official:** DR. WILLIAM S KIRK JR. DDS (OWNER)
- **Authorized official phone:** (704) 332-3701

## Contact information

- **Practice address:** 600 S COLLEGE ST, SUITE 1100, CHARLOTTE, NC 28202-1825
- **Practice address phone:** (704) 332-3701
- **Practice address fax:** (704) 335-1835
- **Mailing address:** 600 S COLLEGE ST, SUITE 1100, CHARLOTTE, NC 28202-1825
- **Mailing address phone:** (704) 332-3701
- **Mailing address fax:** (704) 335-1835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4501 | NC | — |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | 4501 | NC | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 4501 | NC | Yes |
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry | 4501 | NC | — |

## Other

- **Enumeration date:** 04/28/2008
- **Last updated:** 05/07/2008