Organization
SHANNON G. PARSONS OF NORTH CAROLINA P.A
Active
Parent organization
SHANNON G. PARSONS OF NORTH CAROLINA P.A
Other names
Carolina Periodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHANNON G. PARSONS OF NORTH CAROLINA P.A
Authorized official
ERIKA MELISSA MENJIVAR (SR. CREDENTIALING SPECIALIST)
(469) 596-6137
Entity
Organization
Contact information
Practice address
7751 BALLANTYNE COMMONS PKWY STE 101, CHARLOTTE, NC 28277-2442
(704) 544-7033
Mailing address
5830 GRANITE PKWY STE 780, PLANO, TX 75024-6775
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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