Provider Demographics
NPI:1184445454
Name:ASHLEY DAWSON DDS PLLC
Entity type:Organization
Organization Name:ASHLEY DAWSON DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWSON-SUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:678-735-0660
Mailing Address - Street 1:3555 MATTHEWS MINT HILL RD STE 2
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-4174
Mailing Address - Country:US
Mailing Address - Phone:704-565-9512
Mailing Address - Fax:
Practice Address - Street 1:3555 MATTHEWS MINT HILL RD STE 2
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-4174
Practice Address - Country:US
Practice Address - Phone:704-565-9512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental