Provider Demographics
NPI:1407465784
Name:ALTERMAN & DHILLON CHARLOTTE METRO, PPLC
Entity Type:Organization
Organization Name:ALTERMAN & DHILLON CHARLOTTE METRO, PPLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:LORICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-948-6787
Mailing Address - Street 1:PO BOX 603712
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-3712
Mailing Address - Country:US
Mailing Address - Phone:919-948-6787
Mailing Address - Fax:919-590-1519
Practice Address - Street 1:6820 MATTHEWS MINT HILL RD STE 204
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-9492
Practice Address - Country:US
Practice Address - Phone:704-800-0255
Practice Address - Fax:704-457-5214
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALTERMAN DHILLON AND ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty