NPIMap

Organization Active NPI

Mary Hanna Makhlouf DMD Ms PA

  • Dental Clinic/Center
  • Burlington, NC
National Provider Identifier
1518130574
Registry record updated Jul 20, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5767 Issued in NC
Legal business name
MARY HANNA MAKHLOUF DMD MS PA
Practice address
1682 Westbrook Ave
Burlington, NC 27215-9700
Phone
(336) 226-8406
Fax
(336) 226-9281
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Authorized official

Name
Mary H Makhlouf, DMD,MS,PA
Title
President
Phone
(336) 226-8406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5767 NC Primary

Addresses

Primary practice location

1682 Westbrook Ave
Burlington, NC 27215-9700

Mailing address

1682 Westbrook Ave
Burlington, NC 27215-9700
Phone (336) 226-8406

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1518130574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1682 WESTBROOK AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159700",
            "telephone_number": "336-226-8406",
            "fax_number": "336-226-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1682 WESTBROOK AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159700",
            "telephone_number": "336-226-8406",
            "fax_number": "336-226-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY HANNA MAKHLOUF DMD MS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "MAKHLOUF",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-226-8406",
        "authorized_official_credential": "DMD,MS,PA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "5767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.