Individual
ISAAC DINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Mailing address
6035 FAIRVIEW ROAD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2017-00885
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306196266
—
NC
01
—
19SUM
BCBSNC
NC
05
—
NC3116
—
SC
01
—
NCY170A
MEDICARE
NC
Enumeration date
09/18/2012
Last updated
07/21/2022
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