QUEEN CITY ENDODONTICS (NPI# 1255818944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255818944 |
| Entity Type | Organization |
| Organization Name | QUEEN CITY ENDODONTICS |
| Practice Address |
5232 Albemarle Rd Ste C Charlotte NC 28212-3644 |
| Practice Telephone | 7045366774 |
| Practice Fax Number | 7045365998 |
| Mailing Telephone | 7045366774 |
| Mailing Fax Number | 7045365998 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Authorized Official Name | ROBERT R HAGLUND JR. (OWNER) |
| Authorized Official Telephone | 7047996979 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Street Address |
5232 ALBEMARLE RD STE C |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28212-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371250 | Amy Sierra Conner | Counselor | 5700 Executive Drive Suite 110, Charlotte, NC 28212 | 2019-11-25 |
| 1700447307 | Nagarani Nagarajan Dds.,pllc | Clinic/Center | 2510 Vista Drive, Suite 100, Charlotte, NC 28212 | 2019-06-25 |
| 1700441011 | Khadija Brown | Counselor | 6601 English Hills Dr, Charlotte, NC 28212 | 2019-05-02 |
| 1245711514 | Savannah Huneycutt | Dentist | 6708 Albemarle Road, Charlotte, NC 28212 | 2018-08-24 |
| 1417435710 | Porcelain Dolls of The Carolinas, Inc | Clinic/Center | 5835 Executive Center Dr # 101-i, Charlotte, NC 28212 | 2018-07-30 |
| 1447701511 | Christine Walker Physical Therapy, LLC | Clinic/Center | 8850 Monroe Rd, Charlotte, NC 28212 | 2016-10-24 |
| 1013376128 | Colby Edward Joyner | Physician Assistant | 7005 Wallace Rd Ste 600, Charlotte, NC 28212 | 2016-02-17 |
| 1760814412 | Nguyen Tri Nguyen, Dds, Pa | Dentist | 6404 Albemarle Road, #c, Charlotte, NC 28212 | 2013-08-05 |
| 1477806834 | Tara Thompson | Counselor | 6900 Democracy Dr., Charlotte, NC 28212 | 2012-10-23 |
| 1568711109 | Mary Dianne Branch | Counselor | 8130 Runaway Bay Drive Apt Q, Charlotte, NC 28212 | 2012-08-29 |
| Find all providers in zip 28212 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952891921 | Evan Novick Dmd Pa | Dentist | 3535 Randolph Rd Ste 101, Charlotte, NC 28211-1067 | 2018-05-15 |
| 1275770075 | Robert R Haglund Jr. | Dentist | 8927 J M Keynes Dr # 330, Charlotte, NC 28262-8433 | 2009-01-15 |
| 1093919607 | Evan N. Miller, Dds, Pa | Dentist | 130 Providence Rd, Charlotte, NC 28207-1218 | 2007-06-14 |
| 1144421678 | Dr. Alvin S. Goodman, P.a. | Dentist | 3535 Randolph Rd., Suite R-101, Charlotte, NC 28211-1032 | 2007-05-31 |
| 1962558346 | Joe H Camp | Dentist | 130 Providence Road, Charlotte, NC 28207 | 2007-01-26 |
| 1982705992 | Richard John Pockat | Dentist | 425 South Sharon Amity Road, Suite B, Charlotte, NC 28211-2841 | 2006-09-25 |
| 1699787333 | Gary R Sugg | Dentist | 4525 Park Road, Ste B104, Charlotte, NC 28209-3723 | 2006-08-12 |
| 1528087384 | Ramesh Kumar Sunar | Dentist | 2809 Coltsgate Rd, Suite100, Charlotte, NC 28211-5582 | 2006-07-19 |
| 1063414175 | Luis Antonio Chamorro | Dentist | 11535 Carmel Commons Blvd, Ste 205, Charlotte, NC 28226-5314 | 2005-06-01 |
| 1669907317 | Robert R Haglund Jr Dmd, Mds,ii,pa | Dentist | 8912 Blakeney Professional Dr, Suite 300, Charlotte, NC 28277-6734 | 2017-05-01 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.