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Contact Information

DR. JUAN G. LOPEZ DMD DDS PA
1711 MONTFORD DR
CHARLOTTE, NC28209-3721
 Phone: 704-523-7301
 Fax: 704-525-7138
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for DR. JUAN G. LOPEZ DMD DDS PA

NPI # 1831303429
LBN Legal business name DR. JUAN G. LOPEZ DMD DDS PA
Authorized official CATALINA BALCERO - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NC License # 7223
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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