# PINNIX AND BETANCOURT PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Dentistry of Blakeney
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649388489
- **Authorized official:** DR. GEORGE ALEXANDER BETANCOURT D.M.D. (DENTIST/CO-PRESIDENT/CO-OWNER)
- **Authorized official phone:** (704) 543-1102

## Contact information

- **Practice address:** 8918 BLAKENEY PROFESSIONAL DRIVE, SUITE 100, CHARLOTTE, NC 28277
- **Practice address phone:** (704) 543-1102
- **Practice address fax:** (704) 543-1028
- **Mailing address:** 8918 BLAKENEY PROFESSIONAL DRIVE, SUITE 100, CHARLOTTE, NC 28277
- **Mailing address phone:** (704) 543-1102
- **Mailing address fax:** (704) 543-1028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7882 | NC | Yes |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 02/15/2012

## 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 |