Provider Demographics
NPI:1518312735
Name:BENOY GEORGE PLLC
Entity Type:Organization
Organization Name:BENOY GEORGE PLLC
Other - Org Name:SMILE RITE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BENOY
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-313-1686
Mailing Address - Street 1:6890 POPPY HILLS LN
Mailing Address - Street 2:APT 1722
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-6558
Mailing Address - Country:US
Mailing Address - Phone:704-313-1686
Mailing Address - Fax:
Practice Address - Street 1:8328 PINEVILLE MATTHEWS RD
Practice Address - Street 2:UNIT 302
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-3776
Practice Address - Country:US
Practice Address - Phone:704-313-1686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-25
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9936122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty