Provider Demographics
NPI:1033200977
Name:COLVIN, JULIANNE PRETTYMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIANNE
Middle Name:PRETTYMAN
Last Name:COLVIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JULIANNE
Other - Middle Name:THOMAS
Other - Last Name:PRETTYMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16525 BIRKDALE COMMONS PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3802
Mailing Address - Country:US
Mailing Address - Phone:704-895-5850
Mailing Address - Fax:
Practice Address - Street 1:16525 BIRKDALE COMMONS PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-3802
Practice Address - Country:US
Practice Address - Phone:704-895-5850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2015-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC82551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice