Individual
DR. HARLEY A. ELLINGER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3325 SPRINGBANK LN, STE 140, CHARLOTTE, NC 28226-3364
(704) 544-2224
(704) 544-2259
Mailing address
3325 SPRINGBANK LN, STE 140, CHARLOTTE, NC 28226-3364
(704) 544-2224
(704) 544-2259
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3670
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3670
DENTAL LICENSE
NC
Enumeration date
06/14/2005
Last updated
07/08/2007
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