MALLARD CREEK FAMILY DENTISTRY LLP
NPI 1306488382
Dentist - General Practice in Charlotte, NC

Q: What is Mallard Creek Family Dentistry LLP's NPI number?

The NPI number for Mallard Creek Family Dentistry LLP is 1306488382. It was assigned to this organization in the NPPES registry on October 11, 2019.

Q: What is Mallard Creek Family Dentistry LLP's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since October 11, 2019

3010 BAUCOM RD STE 200, CHARLOTTE, NC 28269(704) 596-0021(704) 599-1155 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mallard Creek Family Dentistry Llp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLARD CREEK FAMILY DENTISTRY LLP (NPI 1306488382) is a healthcare organization registered as a general practice in Charlotte, North Carolina and active in the NPI registry since October 2019. The organization lists Suzi Wallace, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1306488382

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMALLARD CREEK FAMILY DENTISTRY LLP

Location Address3010 BAUCOM RD STE 200Charlotte, NC 28269-6765

Mailing Address3010 Baucom Rd Ste 200Charlotte, NC 28269-6765 · (704) 596-0021 · Fax (704) 599-1155

Phone(704) 596-0021

Fax(704) 599-1155

Organization SubpartNo

Authorized OfficialSuzi WallacePractice Administrator · (704) 596-0021

Enumeration DateOctober 11, 2019

✔ NPI 1306488382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3010 BAUCOM RD STE 200, Charlotte, NC 28269

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA MARKS GUSTAFSON, DDS, PA

Clinic/Center (Dental)

3010 BAUCOM RD STE 200
CHARLOTTE, NC 28269

Mecklenburg County (704) 596-0021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallard Creek Family Dentistry LLP's NPI number?

The NPI number for Mallard Creek Family Dentistry LLP is 1306488382. It was assigned to this organization in the NPPES registry on October 11, 2019.

Where is Mallard Creek Family Dentistry LLP located?

Mallard Creek Family Dentistry LLP is located at 3010 Baucom Rd Ste 200, Charlotte, NC 28269. The listed phone number is (704) 596-0021.

What is Mallard Creek Family Dentistry LLP's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mallard Creek Family Dentistry LLP was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.