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Contact Information

BRADFORD L PICOT, DDS, P.A.
1520 SOUTH BLVD
SUITE 110
CHARLOTTE, NC28203-4786
 Phone: 704-335-8266
 Fax: 704-335-8267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for BRADFORD L PICOT, DDS, P.A.

NPI Number 1003048752
LBN Legal business name BRADFORD L PICOT, DDS, P.A.
Authorized official BRADFORD PICOT - (OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/13/2009
Last updated 08/13/2009 - About 17 years ago
Identifiers
NC License # 8158
NC Medicaid 5908420
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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