Organization
ALYSSA SPROWL DDS MS PLLC
Active
Other names
A List Smiles Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALYSSA SPROWL DDS (OWNER)
(404) 403-4853
Entity
Organization
Contact information
Practice address
2510 VISTA DRIVE, SUITE 103, CHARLOTTE, NC 28212
(704) 665-7078
Mailing address
8544 FILBERT LN, CHARLOTTE, NC 28215-7144
(704) 665-7078
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-0940442
NC SECRETARY OF STATE
NC
Enumeration date
09/03/2019
Last updated
09/03/2019
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