Organization
PINNIX AND BETANCOURT PLLC
Active
Other names
Advanced Dentistry of Blakeney
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE ALEXANDER BETANCOURT D.M.D. (DENTIST/CO-PRESIDENT/CO-OWNER)
(704) 543-1102
Entity
Organization
Contact information
Practice address
8918 BLAKENEY PROFESSIONAL DRIVE, SUITE 100, CHARLOTTE, NC 28277
(704) 543-1102
(704) 543-1028
Mailing address
8918 BLAKENEY PROFESSIONAL DRIVE, SUITE 100, CHARLOTTE, NC 28277
(704) 543-1102
(704) 543-1028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7882
NC
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215109426
ADVANCED DENTISTRY
NC
01
—
1396828380
CHRISTOPHER PHELPS, DMD
NC
01
—
1508940826
GEORGE A. BETANCOURT, DMD
NC
01
—
1811169022
THOMAS D. GRIMES, DDS
NC
01
—
1962571984
JOHN PINNIX, DMD
NC
Enumeration date
08/29/2006
Last updated
02/15/2012
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