Active NPI
Rfdest, DDS PLLC
- General Practice Dentistry
- Lincolnton, NC
National Provider Identifier
1871295220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- RFDEST, DDS PLLC
- Doing business as
- Magnolia Dentistry
- Practice address
- 910 Dontia Dr
Lincolnton, NC 28092-3643 - Phone
- (980) 284-2108
- NPI assigned
- Mar 20, 2023
- Organization subpart
- Yes
- Parent organization
- RFDEST,DDS PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eileen R Childers
- Title
- Insurance Manager
- Phone
- (704) 790-4410
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
910 Dontia Dr
Lincolnton, NC 28092-3643
Mailing address
8301 University Exec Park Dr Ste 105
Charlotte, NC 28262-3378
Phone (704) 790-4410
Other names 1
- Magnolia Dentistry
National Provider Directory
National Provider Directory- Tax ID family
- Rfdest DDS PLLC
- Part of
- Rfdest DDS PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Charlotte, NC
- NPI 1386391753
Locations
910 Dontia Dr
Lincolnton, NC 28092
Phone (704) 735-3014
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Practice Dentistry
- Charlotte, NC
- NPI 1386391753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679270400000",
"number": "1871295220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8301 UNIVERSITY EXEC PARK DR STE 105",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623378",
"telephone_number": "704-790-4410",
"fax_number": "704-228-8481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 DONTIA DR",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280923643",
"telephone_number": "980-284-2108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RFDEST, DDS PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RFDEST,DDS PLLC",
"enumeration_date": "2023-03-20",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A",
"authorized_official_last_name": "CHILDERS",
"authorized_official_first_name": "EILEEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "INSURANCE MANAGER",
"authorized_official_telephone_number": "704-790-4410"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Magnolia Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lincolnton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.