Organization
SCOTT L WEINSTEIN DDS PA
Active
Other names
Ballantyne Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT LOUIS WEINSTEIN DDS (PRESIDENT)
(704) 752-1900
Entity
Organization
Contact information
Practice address
12105 COPPER WAY, SUITE 102, CHARLOTTE, NC 28277-1756
(704) 752-1900
(704) 831-6444
Mailing address
12105 COPPER WAY, SUITE 102, CHARLOTTE, NC 28277-1756
(704) 752-1900
(704) 831-6444
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7083
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902RT
—
NC
Enumeration date
09/04/2007
Last updated
09/04/2007
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