Southend Dentistry - Dental Clinic in Charlotte, NC

Southend Dentistry is a dental clinic (Dentist - General Practice) in Charlotte, North Carolina. The current practice location for Southend Dentistry is 1520 South Blvd, Suite 110, Charlotte, North Carolina. For appointments, you can reach them via phone at (704) 335-8266. The mailing address for Southend Dentistry is 1520 South Blvd, Suite 110, Charlotte, North Carolina and phone number is (704) 335-8266.

Southend Dentistry is licensed to practice in North Carolina (license number 8158) and its NPI number is 1003048752. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (704) 335-8266.

Contact Information

Southend Dentistry
1520 South Blvd
Suite 110
Charlotte
NC 28203-4786
(704) 335-8266
(704) 335-8267

Dental Care Clinic Profile

Full NameSouthend Dentistry
SpecialityDentist - General Practice
Location1520 South Blvd, Charlotte, North Carolina
Authorized Official Name and PositionBradford Lee Picot (OWNER/DENTIST)
Authorized Official Contact7043358266
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southend Dentistry
1520 South Blvd
Suite 110
Charlotte
NC 28203-4786

Ph: (704) 335-8266
Southend Dentistry
1520 South Blvd
Suite 110
Charlotte
NC 28203-4786

Ph: (704) 335-8266

NPI Details:

NPI Number1003048752
Provider Enumeration Date08/13/2009
Last Update Date08/13/2009

Medical Identifiers

Medical identifiers for Southend Dentistry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003048752NPI-NPPES
5908420MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 8158 (North Carolina)Primary
302R00000XHealth Maintenance Organization 8158 (North Carolina)Secondary

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