# ALLIANCE DENTAL GROUP

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

## Provider details

- **NPI number:** 1770136103
- **Authorized official:** MRS. DEANA P. VERNON (REGIONAL MANAGER)
- **Authorized official phone:** (704) 880-2297

## Contact information

- **Practice address:** 1303 PLAZA DR, KINGS MOUNTAIN, NC 28086-2653
- **Practice address phone:** (704) 739-7956
- **Mailing address:** 747 BRAWLEY SCHOOL RD, MOORESVILLE, NC 28117-9122
- **Mailing address phone:** (704) 663-3001

## Taxonomy

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

## Other

- **Enumeration date:** 07/24/2019
- **Last updated:** 07/24/2019