Individual
JONATHAN AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
640 S MAGNOLIA ST, LINCOLNTON, NC 28092-3736
(704) 732-3336
(704) 735-3637
Mailing address
640 S MAGNOLIA ST, LINCOLNTON, NC 28092-3736
(704) 732-3336
(704) 735-3637
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10381
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8999385
—
NC
Enumeration date
06/30/2016
Last updated
03/17/2018
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