BOSSOLINA DDS PLLC (NPI# 1851897854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851897854 |
| Entity Type | Organization |
| Organization Name | BOSSOLINA DDS PLLC |
| Other Organization Name | CENTER CITY DENTAL |
| Practice Address |
400 South Tryon Street Suite M-4 Charlotte NC 28202 |
| Practice Telephone | 7043765950 |
| Mailing Telephone | 7043765950 |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2019-02-08 |
| Authorized Official Name | DR. MICHAEL JOSEPH BOSSOLINA JR. (OWNER) |
| Authorized Official Telephone | 2489794323 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
10133 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PERSONAL, NOT BUSINESS NPI | 1013205368 | 01 |
| Other Name | Type Code |
|---|---|
| Center City Dental | Doing Business As Name - Organization |
| Street Address |
400 SOUTH TRYON STREET SUITE M-4 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518947514 | Gordon Joseph Roznik | Dentist | 400 South Tryon Street, Ste M4a Lobby Level, Charlotte, NC 28285 | 2006-01-18 |
| 1972984789 | Athena Vu Dds Pllc 2 | Dentist | 400 South Tryon Street, Suite M4, Charlotte, NC 28285 | 2015-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609418425 | Monarch | Community/Behavioral Health | 215 North Pine Street Unit 705, Charlotte, NC 28202 | 2019-10-14 |
| 1396211892 | Brooke Graham | Behavior Technician | 107 New Edition Court Carey, Raleigh, NC 28202 | 2018-10-23 |
| 1740704352 | Targetcare, Inc. | Health Educator | 831 E. Morehead Street, Suite 900, Charlotte, NC 28202 | 2017-07-26 |
| 1659828291 | Reserve Health, PC | Family Medicine | 135 W 10th St, Charlotte, NC 28202 | 2016-09-01 |
| 1275905887 | Tameka Wade Brewington | Counselor | 615 E 6th St Ste 112, Charlotte, NC 28202 | 2015-10-22 |
| 1962815159 | Teisha Miller | Social Worker | 700 N. Tryon Street, Charlotte, NC 28202 | 2014-06-05 |
| 1699193672 | Elizabeth Ann Peterson-vita | Psychologist | 700 East Stonewall Street, Suite 714, Charlotte, NC 28202 | 2014-04-07 |
| 1942631437 | Avery Sales | Durable Medical Equipment & Medical Supplies | 103 W Morehead St, Charlotte, NC 28202 | 2013-12-09 |
| 1801236484 | Annette Goodman | Counselor | 415 E. Trade Street, Charlotte, NC 28202 | 2013-06-27 |
| 1174960181 | Jennifer D'silva | Dentist | 210 E Trade St # 484, Charlotte, NC 28202 | 2013-05-30 |
| Find all providers in zip 28202 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871109041 | Steven D Robertson Dmd, Pa | Clinic/Center | 1613 Montford Dr Ste A, Charlotte, NC 28209-3793 | 2020-09-22 |
| 1558971408 | Mid Michigan Gentle Dental | Clinic/Center | 114 S Cochran Ave, Charlotte, MI 48813-1510 | 2020-08-05 |
| 1265050504 | Hammock, Dmd & Lotakis, Dds X, Pllc | Clinic/Center | 9201 S Tryon St Ste A, Charlotte, NC 28273-4239 | 2020-07-13 |
| 1598398653 | Zammitti Gidaly Abrams Cohen & Associates Iv PC | Clinic/Center | 8631 Arbor Creek Dr Ste D1, Charlotte, NC 28269-0548 | 2020-02-18 |
| 1700447307 | Nagarani Nagarajan Dds.,pllc | Clinic/Center | 2510 Vista Drive, Suite 100, Charlotte, NC 28212 | 2019-06-25 |
| 1578021952 | Raghav Sundaresh, Dds, Pllc | Clinic/Center | 620 N Church St Ste 113, Charlotte, NC 28202-3277 | 2019-03-05 |
| 1790279628 | Bou Mjahed,dds,pllc | Clinic/Center | 328 W Carson Blvd Ste 100, Charlotte, NC 28203-4024 | 2018-06-14 |
| 1346759644 | Gregory S Reece, Dmd, Pllc | Clinic/Center | 3014 Baucom Rd Ste 100, Charlotte, NC 28269-2393 | 2017-09-29 |
| 1962936104 | Melissa Marks Gustafson, Dds, Pa | Clinic/Center | 3010 Baucom Rd Ste 200, Charlotte, NC 28269-6765 | 2017-04-14 |
| 1013457217 | Cook and Associates of North Carolina Pllc | Clinic/Center | 1836 Maryland Ave, Charlotte, NC 28209-1536 | 2017-03-07 |
| 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.