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David E Thome DDS PLLC L1

Dentist, Pediatric Dentistry in Shelby, NC. Organization (NPI-2).

NPI number1598463531
StatusActive
Last updated in NPPESFeb 20, 2023

Details

NPI
1598463531
Entity type
Organization (NPI-2)
Legal business name
David E Thome DDS PLLC L1
Organization subpart
No
Enumeration date
Feb 20, 2023
Certification date
Feb 20, 2023
Last updated
Feb 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric Dentistry––Yes

Practice location

221 Simpson Park Rd
Shelby, NC 28150-4299

Phone 704-484-3366

Mailing address

8604 Cliff Cameron Dr Ste 170
Charlotte, NC 28269-8508

Phone 704-361-9508

Authorized official

Lucenda Harris
Credentialing And Contracting Coor
7043619508

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