Organization
WILLIAM S. KIRK JR DDS PA
Active
Organization
WILLIAM S. KIRK JR DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM S KIRK JR. DDS (OWNER)
(704) 332-3701
Entity
Organization
Contact information
Practice address
600 S COLLEGE ST, SUITE 1100, CHARLOTTE, NC 28202-1825
(704) 332-3701
(704) 335-1835
Mailing address
600 S COLLEGE ST, SUITE 1100, CHARLOTTE, NC 28202-1825
(704) 332-3701
(704) 335-1835
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4501
NC
1223P0106X
Oral and Maxillofacial Pathology Dentistry
4501
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4501
NC
1223X0008X
Oral and Maxillofacial Radiology Dentistry
4501
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8994940
—
NC
Enumeration date
04/28/2008
Last updated
05/07/2008
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