Organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Active
Parent organization
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Other names
Atrium Health Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
Authorized official
SCOTT RISSMILLER (ENTERPRISE EVP)
(704) 355-8675
Entity
Organization
Contact information
Practice address
1000 BLYTHE BLVD, ANNEX BLDG 2ND FLOOR, CHARLOTTE, NC 28203-5812
(704) 355-2165
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
04/01/2016
Last updated
05/26/2026
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