McNeely and Mallette DDS PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MCNEELY AND MALLETTE DDS PA

Practice address

201 Dale Earnhardt Blvd
Kannapolis, NC 28081-0308

Phone

(704) 496-9001

Fax

(855) 254-9601

NPI assigned

Jul 17, 2024

Organization subpart

No

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

Authorized official

Name

Justin Mallette, DDS

Title

Owner Dentist

Phone

(704) 496-9001

Specialties & licenses 1

Addresses

Practitioners 2

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

• Brian McNeely, DDS

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1255536041
  NPD
• Kyle Lester Pabustan Viloria, D.D.S.

  • Dentist
  • Charlotte, NC
  • NPI 1346600376
  NPD

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1760220370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 ROCKY RIVER RD STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282159526",
            "telephone_number": "704-496-9001",
            "fax_number": "855-254-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DALE EARNHARDT BLVD",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280810308",
            "telephone_number": "704-496-9001",
            "fax_number": "855-254-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCNEELY AND MALLETTE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "MALLETTE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "704-496-9001",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Kathleen McGinnis, PTA
• Jennifer Morton McGuire, RPH
• Jennine McInnis
• Kristen Bryant McKnight, PHARM.D
• Austin McMurray, OTD
• Carolyn Jeneita McNeill
• Medical Modalities Inc.
• Nalin Mehta
• Purvish Maheshbhai Mehta, R.PH
• Alexis Meisenholder

• Dentist in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.