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DISTINCTIVE DENTISTRY OF CHARLOTTE
NPI 1386681625
Dentist - General Practice in Charlotte, NC

Active since June 02, 2006
475 N WENDOVER RD, CHARLOTTE, NC 28211(704) 540-5400(704) 364-5293 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Distinctive Dentistry Of Charlotte NPPES

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

DISTINCTIVE DENTISTRY OF CHARLOTTE (NPI 1386681625) is a healthcare organization registered as a general practice in Charlotte, North Carolina and active in the NPI registry since June 2006. The organization lists Mary Blankenship, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1386681625
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWILLIAM SUMMERVILLE DDS PLLC
Location Address475 N WENDOVER RDCharlotte, NC 28211-1064
Mailing Address475 N Wendover RdCharlotte, NC 28211-1064 · (704) 540-5400 · Fax (704) 364-5293
Phone(704) 540-5400
Fax(704) 364-5293
Organization SubpartNo
Authorized OfficialMary BlankenshipOffice Manager · (704) 540-5400
Enumeration DateJune 2, 2006
Last NPPES UpdateMay 11, 20212 updates tracked since enumeration
NPPES CertifiedMay 11, 2021
✔ NPI 1386681625 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.
475 N WENDOVER RD, Charlotte, NC 28211
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Other Names 1

Doing Business AsDistinctive Dentistry Of Charlotte

Other Identifiers 2

Medicaid5906062NC
Other018X3NC · Bcbs Of Ncnchealthchoice

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

WILLIAM SUMMERVILLE DDS
Dentist
475 N WENDOVER RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 540-5400
DR. NORMAN JOSEPH SYKES JR. D.M.D.
Dentist (Oral and Maxillofacial Surgery)
475 N WENDOVER RD
CHARLOTTE, NC 28211
Mecklenburg County (704) 365-6811

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 William Summerville Dds PLLC's NPI number?

The NPI number for William Summerville Dds PLLC is 1386681625. It was assigned to this organization in the NPPES registry on June 2, 2006. The provider is doing business as Distinctive Dentistry Of Charlotte.

Where is William Summerville Dds PLLC located?

William Summerville Dds PLLC is located at 475 N Wendover Rd, Charlotte, NC 28211. The listed phone number is (704) 540-5400.

What is William Summerville Dds PLLC's specialty?

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

What insurance does William Summerville Dds PLLC accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list William Summerville Dds PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Summerville Dds PLLC was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.