| Ideal Dental Huntersville | |
|
14227 Boren Street Ste 102 Huntersville NC 28078 | |
| (704) 949-3071 | |
| Not Available |
| Full Name | Ideal Dental Huntersville |
|---|---|
| Speciality | Dentist |
| Location | 14227 Boren Street, Huntersville, North Carolina |
| Authorized Official Name and Position | Rodney Alles (OWNER) |
| Authorized Official Contact | 9723318079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Huntersville Po Box 840925 Dallas TX 75284-0925 Ph: (972) 361-0600 | Ideal Dental Huntersville 14227 Boren Street Ste 102 Huntersville NC 28078 Ph: (704) 949-3071 |
| NPI Number | 1093497521 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093497521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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