Hani M Aboufoul, DMD
Individual provider Active NPI Public Health Dentistry · Charlotte, NC
NPI 1790701308 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1790701308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Public Health Dentistry 1223D0001X
- License
- NC6417 (NC)
- Practice address
- 1801 Rozzelles Ferry Rd
Charlotte, NC 28208-4228 - Phone
- (704) 350-7300
- Fax
- (704) 350-7304
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC6417 | NC | MD | Public Health Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | NC6417 | NC | Yes |
Addresses
Primary practice location
1801 Rozzelles Ferry Rd
Charlotte, NC 28208-4228
Mailing address
1801 Rozzelles Ferry Rd
Charlotte, NC 28208-4228
Phone (704) 350-7300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5901085 | Medicaid | NC | |
| 015N0 | Other | NC | NC HEALTHCHOICE |
Other providers in Charlotte, NC
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- Brian W Ablitz
- Britney Abney
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- Dalia Abou Zeki
- Lara Aboulhosn
- Claire Nche Aboung
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- Elizabeth Ross Abowd
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All providers in Charlotte, NC · Public Health Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.