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Organization
PINNIX AND BETANCOURT PLLC
Active
Organization
PINNIX AND BETANCOURT PLLC
Active
Other names
Advanced Dentistry of Blakeney
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE ALEXANDER BETANCOURT D.M.D. (DENTIST/CO-PRESIDENT/CO-OWNER)
(704) 543-1102
Entity
Organization
Contact information
Practice address
8918 BLAKENEY PROFESSIONAL DRIVE, SUITE 100, CHARLOTTE, NC 28277
(704) 543-1102
(704) 543-1028
Mailing address
8918 BLAKENEY PROFESSIONAL DRIVE, SUITE 100, CHARLOTTE, NC 28277
(704) 543-1102
(704) 543-1028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7882
NC
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215109426
ADVANCED DENTISTRY
NC
01
—
1396828380
CHRISTOPHER PHELPS, DMD
NC
01
—
1508940826
GEORGE A. BETANCOURT, DMD
NC
01
—
1811169022
THOMAS D. GRIMES, DDS
NC
01
—
1962571984
JOHN PINNIX, DMD
NC
Enumeration date
08/29/2006
Last updated
02/15/2012
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