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IDLEWILD FAMILY DENTISTRY
NPI 1649783119
Dentist - General Practice in Indian Trail, NC

Active since November 07, 2017
4801 INDIAN TRAIL FAIRVIEW RD, INDIAN TRAIL, NC 28079(704) 893-0351(704) 893-0354 Get Directions Write a Review

NPPES record last updated: November 7, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Idlewild Family Dentistry NPPES

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

IDLEWILD FAMILY DENTISTRY (NPI 1649783119) is a healthcare organization registered as a general practice in Indian Trail, North Carolina and active in the NPI registry since November 2017. The organization lists Mitesh Dhulab, Owner, as its authorized official.

NPPES Registry Identity

NPI1649783119
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameIDLEWILD FAMILY DENTISTRY, LLC
Location Address4801 INDIAN TRAIL FAIRVIEW RDIndian Trail, NC 28079-8865
Mailing Address4801 Indian Trail Fairview RdIndian Trail, NC 28079-8865 · (704) 893-0351 · Fax (704) 893-0354
Phone(704) 893-0351
Fax(704) 893-0354
Organization SubpartNo
Authorized OfficialMitesh DhulabOwner · (704) 893-0351
Enumeration DateNovember 7, 2017
✔ NPI 1649783119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Sleep Disorder DiagnosticTaxonomy 261QS1200X
4801 INDIAN TRAIL FAIRVIEW RD, Indian Trail, NC 28079
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Other Names 1

Doing Business AsIdlewild Family Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

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 Idlewild Family Dentistry, LLC's NPI number?

The NPI number for Idlewild Family Dentistry, LLC is 1649783119. It was assigned to this organization in the NPPES registry on November 7, 2017. The provider is doing business as Idlewild Family Dentistry.

Where is Idlewild Family Dentistry, LLC located?

Idlewild Family Dentistry, LLC is located at 4801 Indian Trail Fairview Rd, Indian Trail, NC 28079. The listed phone number is (704) 893-0351.

What is Idlewild Family Dentistry, LLC's specialty?

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

What insurance does Idlewild Family Dentistry, LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Idlewild Family Dentistry, LLC 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 Idlewild Family Dentistry, LLC was last updated on November 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.