Individual
DR. CHARLES WILLIAM CONNOR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1146 N NEW HOPE RD, GASTONIA, NC 28054-2959
(704) 865-6425
(704) 865-2568
Mailing address
1146 N NEW HOPE RD, GASTONIA, NC 28054-2959
(704) 865-6425
(704) 865-2568
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4623
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8991768
—
NC
01
—
91768
BCBS/NORTH CAROLINA
NC
01
—
UNITED CONCORDIA
417217
NC
Enumeration date
07/07/2006
Last updated
04/24/2012
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