Organization
LAWRENCE A. SLADEK, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE ALEXANDER SLADEK D.D.S. (OWNER)
(704) 545-3243
Entity
Organization
Contact information
Practice address
7332 MATTHEWS MINT HILL RD., CHARLOTTE, NC 28227
(704) 545-3243
(704) 545-9233
Mailing address
PO BOX 23308, CHARLOTTE, NC 28227-0276
(704) 545-3243
(704) 545-9233
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
4116
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8997838
—
NC
01
—
97838
BLUE CROSS BLUE SHIELD
—
Enumeration date
04/02/2008
Last updated
04/02/2008
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