W Randall Cline & Associates

Organization Active NPI General Practice Dentistry · Marshville, NC

NPI 1407085178 · NPPES record last updated Jul 2, 2009

Key facts

NPI
1407085178
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
4621 (NC)
Legal business name
W RANDALL CLINE & ASSOCIATES
Practice address
6604 E Marshville Blvd
Marshville, NC 28103-1198
Phone
(704) 624-6300
Fax
(704) 624-6302
NPI assigned
Jul 2, 2009
Organization subpart
No

Authorized official

Name
Ms. Norma G Carpenter
Title
Office Manager
Phone
(704) 624-6300

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 4621 NC Yes

Addresses

Primary practice location

6604 E Marshville Blvd
Marshville, NC 28103-1198

Mailing address

6604 E Marshville Blvd
Marshville, NC 28103-1198
Phone (704) 624-6300

Other names

  • Marshville Family Dentistry Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 2, 2009.

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1407085178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6604 E MARSHVILLE BLVD",
            "city": "MARSHVILLE",
            "state": "NC",
            "postal_code": "281031198",
            "telephone_number": "704-624-6300",
            "fax_number": "704-624-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6604 E MARSHVILLE BLVD",
            "city": "MARSHVILLE",
            "state": "NC",
            "postal_code": "281031198",
            "telephone_number": "704-624-6300",
            "fax_number": "704-624-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W RANDALL CLINE & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-624-6300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshville Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshville, NC

All providers in Marshville, NC · General Practice Dentistry in North Carolina

Sources for this page

Verify at the official NPI Registry.