McLaren DDS Mint Hill PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MCLAREN DDS MINT HILL PLLC

Practice address

7215 Lebanon Rd
Suite 6
Mint Hill, NC 28227

Phone

(704) 412-5000

NPI assigned

Jan 10, 2023

Organization subpart

No

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

Authorized official

Name

Karol Ivette Manchola

Title

Regional Manager

Phone

(973) 610-5812

Specialties & licenses 1

Addresses

Other names 1

• Smile Builders Pediatric Dentistry Doing business as

Locations

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1104530658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 LEBANON RD",
            "address_2": "SUITE 6",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "28227",
            "telephone_number": "704-412-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 LEBANON RD",
            "address_2": "SUITE 6",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "28227",
            "telephone_number": "704-412-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN DDS MINT HILL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2024-08-30",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "MANCHOLA",
        "authorized_official_first_name": "KAROL",
        "authorized_official_middle_name": "IVETTE",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "973-610-5812"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Builders Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Marvelli, DDS
• Gretel Stephanie Maya Farfan, LCMHC ASSOCIATE
• Kimberly McAllister, M.S. CCC-SLP, CDP
• Jakeema McCloud, PHARMD
• Ryan McFarland, PT
• Jedediah Kenton McMunn, MD
• Michal Suzanne McNeill, PHARM D
• Taylor Meadows, LCMHCA
• Gary Michael Medlin, RPH
• Marie G Mercier, CNS

• Pediatric Dentistry in Mint Hill, NC
• Providers in Mint Hill, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.