Organization
PHILLIPPI AND KWON DENTISTRY PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JEFFREY PHILLIPPI D.D.S. (GENERAL PARTNER)
(704) 509-4513
Entity
Organization
Contact information
Practice address
2770 E WT HARRIS BLVD, SUITE 102, CHARLOTTE, NC 28213-4096
(704) 509-4513
(704) 509-4516
Mailing address
2770 E WT HARRIS BLVD, SUITE 102, CHARLOTTE, NC 28213-4096
(704) 509-4513
(704) 509-4516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5170
NC
1223G0001X
General Practice Dentistry
6838
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89014V2
—
NC
Enumeration date
06/30/2006
Last updated
08/22/2020
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