Provider Demographics
NPI:1700494309
Name:M. AVEY & ASSOCIATES NC PC VI
Entity Type:Organization
Organization Name:M. AVEY & ASSOCIATES NC PC VI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:AVEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:803-650-3068
Mailing Address - Street 1:3121 SPRINGBANK LN STE G
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-3347
Mailing Address - Country:US
Mailing Address - Phone:704-516-2496
Mailing Address - Fax:
Practice Address - Street 1:3121 SPRINGBANK LN STE G
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-3347
Practice Address - Country:US
Practice Address - Phone:704-516-2496
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty