Organization Active NPI

Debora C. Lentz, DDS, PA

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1972772093
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5928 Issued in NC
Legal business name
DEBORA C. LENTZ, DDS, PA
Practice address
1704 Harris Houston Rd Ste 3
Charlotte, NC 28262-9239
Phone
(704) 548-0870
Fax
(704) 548-0310
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Dr. Debora C. Lentz, DDS
Title
Owner
Phone
(704) 548-0870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5928 NC Primary

Addresses

Primary practice location

1704 Harris Houston Rd Ste 3
Charlotte, NC 28262-9239

Mailing address

1704 Harris Houston Rd Ste 3
Charlotte, NC 28262-9239
Phone (704) 548-0870

Other identifiers 1

IdentifierTypeStateIssuer
743034OtherNCUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

1704 Harris Houston Rd
Ste 3
Charlotte, NC 28262
Phone (704) 548-0870

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1972772093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 HARRIS HOUSTON RD STE 3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629239",
            "telephone_number": "704-548-0870",
            "fax_number": "704-548-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 HARRIS HOUSTON RD STE 3",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629239",
            "telephone_number": "704-548-0870",
            "fax_number": "704-548-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORA C. LENTZ, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "LENTZ",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-548-0870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "743034",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.