Organization
JOE DRAKE DDS A PROFESSIONAL ASSOCTIATION
Active
Other names
Drake Dentistry of Charlotte
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE RICHARD DRAKE DDS (PRESIDENT)
(704) 338-9797
Entity
Organization
Contact information
Practice address
1716 KENILWORTH AVE STE 180, CHARLOTTE, NC 28203-6086
(704) 338-9797
(704) 379-7972
Mailing address
1716 KENILWORTH AVE STE 180, CHARLOTTE, NC 28203-6086
(704) 338-9797
(704) 379-7972
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8482
NC
Other
Enumeration date
08/12/2008
Last updated
04/28/2011
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