Provider Demographics
NPI:1932634920
Name:SLAUGHTER & ASSOCIATES PLLC
Entity Type:Organization
Organization Name:SLAUGHTER & ASSOCIATES PLLC
Other - Org Name:LANDMARK DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BALASANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-347-2557
Mailing Address - Street 1:300 BILLINGSLEY RD STE 202
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-3092
Mailing Address - Country:US
Mailing Address - Phone:704-347-2557
Mailing Address - Fax:
Practice Address - Street 1:6842 MORRISON BLVD
Practice Address - Street 2:202
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-3547
Practice Address - Country:US
Practice Address - Phone:704-417-5888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental