Organization Active NPI

Sharon L Holley DMD Monique D McEahern DDS Robert M Selden III DDS Ms

Doing business as University Pediatric Dentistry

  • Dental Clinic/Center
  • Charlotte, NC
National Provider Identifier
1063694503
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6877 Issued in NC
Legal business name
SHARON L HOLLEY DMD MONIQUE D MCEAHERN DDS ROBERT M SELDEN III DDS MS
Doing business as
University Pediatric Dentistry
Practice address
2325 W Arbors Dr
Suite 104
Charlotte, NC 28262-2559
Phone
(704) 688-1664
Fax
(704) 688-1665
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Milton Selden III, DDS MS
Title
Manager
Phone
(704) 992-1022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6877 NC Primary

Addresses

Primary practice location

2325 W Arbors Dr
Suite 104
Charlotte, NC 28262-2559

Mailing address

2325 W Arbors Dr
Suite 104
Charlotte, NC 28262-2559
Phone (704) 688-1664

Other names 1

  • University Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2325 W Arbors Dr
Ste 104
Charlotte, NC 28262
Phone (704) 688-1664

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1063694503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 W ARBORS DR",
            "address_2": "SUITE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622559",
            "telephone_number": "704-688-1664",
            "fax_number": "704-688-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 W ARBORS DR",
            "address_2": "SUITE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622559",
            "telephone_number": "704-688-1664",
            "fax_number": "704-688-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON L HOLLEY DMD MONIQUE D MCEAHERN DDS ROBERT M SELDEN III DDS MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "SELDEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-992-1022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "6877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.