Walton S. Peery,dds PA
Dentist in Charlotte, NC. Organization (NPI-2).
NPI number1952792012
StatusActive
Last updated in NPPESFeb 11, 2015
Details
- NPI
- 1952792012
- Entity type
- Organization (NPI-2)
- Legal business name
- Walton S. Peery,dds PA
- Organization subpart
- No
- Enumeration date
- Feb 11, 2015
- Last updated
- Feb 11, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | NC4523 | NC | Yes |
Practice location
330 Billingsley RdSuite 200
Charlotte, NC 28211-5055
Phone 704-365-4142 · Fax 704-365-4145
Mailing address
330 Billingsley RdSuite 200
Charlotte, NC 28211-5055
Phone 704-365-4142 · Fax 704-365-4145
Authorized official
Walton Stewart Peery
President
7043654142
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