Provider Demographics
NPI:1609456060
Name:ALTERMAN & DHILLON PIEDMONT, PLLC
Entity Type:Organization
Organization Name:ALTERMAN & DHILLON PIEDMONT, PLLC
Other - Org Name:DIXIE DRIVE DENTAL
Other - Org Type:Doing Business As
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 1:9648 CHAPEL HILL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-7846
Mailing Address - Country:US
Mailing Address - Phone:919-948-6787
Mailing Address - Fax:919-590-1519
Practice Address - Street 1:1214 E DIXIE DR STE C
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-8808
Practice Address - Country:US
Practice Address - Phone:336-934-4384
Practice Address - Fax:336-967-6503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-10
Last Update Date:2021-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty