Individual
DR. LEO WILLIAM UICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7907 PROVIDENCE RD, SUITE 250, CHARLOTTE, NC 28277-9721
(704) 540-1212
(704) 540-1610
Mailing address
7907 PROVIDENCE RD, SUITE 250, CHARLOTTE, NC 28277-9721
(704) 540-1212
(704) 540-1610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5246
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
98699
BLUECROSSBLUESHIELD OF NC
NC
Enumeration date
11/28/2006
Last updated
07/08/2007
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