Provider Demographics
NPI:1184399768
Name:MAXHUNI, ENES (DDS)
Entity type:Individual
Prefix:DR
First Name:ENES
Middle Name:
Last Name:MAXHUNI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 DOUGHTON LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-2270
Mailing Address - Country:US
Mailing Address - Phone:336-340-3466
Mailing Address - Fax:
Practice Address - Street 1:403 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:LOCUST
Practice Address - State:NC
Practice Address - Zip Code:28097-7142
Practice Address - Country:US
Practice Address - Phone:704-888-6247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-15
Last Update Date:2021-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC124481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice