Individual
JOSEPH SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDSN
Contact information
Practice address
201 PROVIDENCE RD, CHARLOTTE, NC 28207-1417
(704) 376-6470
Mailing address
201 PROVIDENCE RD, CHARLOTTE, NC 28207-1417
(704) 376-6470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11186
NC
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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