Mint Hill Dentistry, LLP

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MINT HILL DENTISTRY, LLP

Practice address

5833 Phyliss Lane
Mint Hill, NC 28227-9031

Phone

(704) 568-8010

Fax

(704) 563-0496

NPI assigned

Aug 16, 2005

Organization subpart

No

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

Authorized official

Name

Anastasi J Roupas, DMD

Title

Owner/Partner

Phone

(704) 568-8010

Specialties & licenses 1

Addresses

Other names 1

• Sullivan Hutchinson Burd & Roupas DDS Partnership Former legal business name

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1265424345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 PHYLISS LANE",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279031",
            "telephone_number": "704-568-8010",
            "fax_number": "704-563-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 PHYLISS LANE",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279031",
            "telephone_number": "704-568-8010",
            "fax_number": "704-563-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT HILL DENTISTRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "ROUPAS",
        "authorized_official_first_name": "ANASTASI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "704-568-8010",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sullivan Hutchinson Burd & Roupas DDS Partnership",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Gary Michael Medlin, RPH
• Marie G Mercier, CNS
• Georgia Miles, PHARMACIST
• Abby Miller, LCMHCA
• Joseph Minaya
• Mint Hill Health Holdings, LLC
• Mint Hill Pediatric Therapy
• Mint Hill Pharmacy LLC
• Mint Hill Pharmacy LLC
• Mint Hill Primary Care PLLC

• Dentist in Mint Hill, NC
• Providers in Mint Hill, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.