Lake Norman Cosmetic and Restorative Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6624 Issued in NC

Legal business name

LAKE NORMAN COSMETIC AND RESTORATIVE DENTISTRY

Practice address

631 Brawley School Rd
Suite 500
Mooresville, NC 28117-6204

Phone

(704) 664-7774

Fax

(704) 660-0575

NPI assigned

Aug 7, 2009

Last updated

Aug 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Christine Janelle Drouin

Title

Secretary of Corporation

Phone

(704) 763-7665

Specialties & licenses 1

Addresses

Other names 1

• Hoang H Drouin, DMD, PA Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hoang H. Drouin, D.M.D.

  • General Practice Dentistry
  • Mooresville, NC
  • NPI 1174741003
  NPD (past)

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1760613764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 BRAWLEY SCHOOL RD",
            "address_2": "SUITE 500",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176204",
            "telephone_number": "704-664-7774",
            "fax_number": "704-660-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 BRAWLEY SCHOOL RD",
            "address_2": "SUITE 500",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176204",
            "telephone_number": "704-664-7774",
            "fax_number": "704-660-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE NORMAN COSMETIC AND RESTORATIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "DROUIN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "JANELLE",
        "authorized_official_title_or_position": "SECRETARY OF CORPORATION",
        "authorized_official_telephone_number": "704-763-7665",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoang H Drouin, DMD, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lake Norman Child and Adolescent Psychiatry
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• Lake Norman Chiropractic Center, PA
• Lake Norman Communication Services, Inc. (Pam Manser & Associates Speech Therapy)
• Lake Norman Compounding Pharmacy, Inc.
• Lake Norman Counseling & Pastoral Care Center
• Lake Norman Dermatology, PA
• Lake Norman Dialysis Center of Wake Forest University (Lake Norman Dialysis Center)
• Lake Norman Ears Nose and Throat PA
• Lake Norman Emergency Medical Associates LLC

• General Practice Dentistry in Mooresville, NC
• Providers in Mooresville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.