# MECKLENBURG COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mecklenburg County Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639195241
- **Authorized official:** EARL WINTERS MABRY MD (HEALTH DIRECTOR)
- **Authorized official phone:** (704) 336-2299

## Contact information

- **Practice address:** 1801 ROZZELLES FERRY RD, CHARLOTTE, NC 28208-4228
- **Practice address phone:** (704) 350-7305
- **Practice address fax:** (704) 350-7304
- **Mailing address:** 1801 ROZZELLES FERRY RD, CHARLOTTE, NC 28208-4228
- **Mailing address phone:** (704) 350-7305
- **Mailing address fax:** (704) 350-7304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 261QP0905X | State or Local Public Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 12/13/2012