Organization
BIRKDALE FAMILY AND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY COMPTON (OWNER)
(704) 896-5225
Entity
Organization
Contact information
Practice address
8712 LINDHOLM DR, SUITE 200, HUNTERSVILLE, NC 28078-1870
(704) 896-5225
Mailing address
8712 LINDHOLM DR, SUITE 200, HUNTERSVILLE, NC 28078-1870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8141
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918849
—
NC
Enumeration date
02/13/2013
Last updated
02/13/2013
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