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Contact Information

LEARY FAMILY DENTISTRY
10214 COULOAK DRIVE
CHARLOTTE, NC28216
 Phone: 704-394-3109
 Fax: 704-394-3119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LEARY FAMILY DENTISTRY

NPI Number 1063823862
LBN Legal business name LEARY FAMILY DENTISTRY
Authorized official CARMEN LEARY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/14/2014
Last updated 05/14/2014 - About 12 years ago
Identifiers
NC License # 8001
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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