Individual
BRIAN MCNEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9550 ROCKY RIVER RD STE 202, CHARLOTTE, NC 28215-9526
(704) 496-9001
(704) 496-9001
Mailing address
9550 ROCKY RIVER RD STE 202, CHARLOTTE, NC 28215-9526
(704) 496-9001
(855) 254-9601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8200
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
822360
UNITED CONCORDIA
NC
05
—
8990020
—
NC
01
—
90020
BCBS
NC
Enumeration date
06/20/2007
Last updated
07/17/2024
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