# JOHN WALSH DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dentistry of the Carolinas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528260767
- **Authorized official:** JESSICA JOHNSTON (OPERATIONS MANAGER)
- **Authorized official phone:** (704) 522-1550

## Contact information

- **Practice address:** 730 BROOKDALE DR, STATESVILLE, NC 28677-3406
- **Practice address phone:** (704) 873-0996
- **Practice address fax:** (704) 873-1028
- **Mailing address:** 202 E WOODLAWN RD, STE 114, CHARLOTTE, NC 28217-2213
- **Mailing address phone:** (704) 522-1550
- **Mailing address fax:** (704) 522-1558

## Taxonomy

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

## Other

- **Enumeration date:** 06/01/2007
- **Last updated:** 07/24/2013
