Cornelius Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CORNELIUS DENTISTRY

Practice address

8301 Magnolia Estates Dr Ste 4
Cornelius, NC 28031-8053

Phone

(704) 655-2292

NPI assigned

Apr 2, 2018

Organization subpart

No

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

Authorized official

Name

Kelly B Hadley

Title

Office MGR

Phone

(704) 655-2292

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1972009744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21025 CATAWBA AVE STE 102",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318569",
            "telephone_number": "704-655-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 MAGNOLIA ESTATES DR STE 4",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318053",
            "telephone_number": "704-655-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELIUS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "704-655-2292"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Cornelius, NC
• Providers in Cornelius, 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 Apr 5, 2018; 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.