Organization
JULIE C. SPIVEY, D.M.D., P.L.L.C.
Active
Other names
Lake Norman Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE C. SPIVEY DMD (OWNER/MANAGER)
(205) 540-6928
Entity
Organization
Contact information
Practice address
407 N NC 16 BUSINESS HWY, DENVER, NC 28037-6003
(205) 540-6928
Mailing address
1716 WILMORE DR, CHARLOTTE, NC 28203-4343
(205) 540-6928
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10515
NC
Other
Enumeration date
05/12/2018
Last updated
05/12/2018
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