EVAN NOVICK DMD PA (NPI# 1952891921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952891921 |
| Entity Type | Organization |
| Organization Name | EVAN NOVICK DMD PA |
| Practice Address |
3535 Randolph Rd Ste 101 Charlotte NC 28211-1067 |
| Mailing Address |
1619 Emory Oak Dr Charlotte NC 28270-9813 |
| Practice Telephone | 7043663452 |
| Mailing Telephone | 7812483493 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |
| Authorized Official Name | EVAN NOVICK (PRESIDENT) |
| Authorized Official Telephone | 7812483493 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
10443 | NC | Dental Providers |
| Street Address |
3535 RANDOLPH RD STE 101 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-1067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| 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 |
|---|---|---|---|---|
| 1255818944 | Queen City Endodontics | Dentist | 5232 Albemarle Rd Ste C, Charlotte, NC 28212-3644 | 2018-07-25 |
| 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.