Organization
JAY J. COYLE DDS & ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY RAINES (OFFICE MANAGER)
(704) 540-5400
Entity
Organization
Contact information
Practice address
491 N WENDOVER RD, CHARLOTTE, NC 28211-1064
(704) 540-5400
Mailing address
6923 SHANNON WILLOW RD, SUITE 100, CHARLOTTE, NC 28226-1331
(704) 540-5400
(704) 540-6326
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5279
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7901933
—
NC
Enumeration date
05/02/2007
Last updated
08/22/2020
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