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DR. DETRA KASHON BROOKS D.D.S.
NPI 1821252958
Dentist - General Practice in Charlotte, NC

Active since July 17, 2008
2225 E WT HARRIS BLVD, SUITE 100, CHARLOTTE, NC 28213(704) 494-4050 Get Directions Write a Review

NPPES record last updated: July 17, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Detra Kashon Brooks D.d.s. NPPES

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

DR. DETRA KASHON BROOKS D.D.S. (NPI 1821252958) is an individual general practice provider in Charlotte, North Carolina, licensed in North Carolina (6545) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1821252958
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DETRA KASHON BROOKSCredential: D.D.S.
Location Address2225 E WT HARRIS BLVD, SUITE 100Charlotte, NC 28213-5138
Mailing Address2225 E Wt Harris Blvd, Suite 100Charlotte, NC 28213-5138 · (704) 494-4050
Phone(704) 494-4050
Sole ProprietorYes
Enumeration DateJuly 17, 2008
✔ NPI 1821252958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 6545
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.
2225 E WT HARRIS BLVD, Charlotte, NC 28213
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Other Identifiers 1

Medicaid899006NNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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 Detra Brooks's NPI number?

The NPI number for Detra Brooks is 1821252958. It was assigned to this individual provider in the NPPES registry on July 17, 2008.

Where is Detra Brooks located?

Detra Brooks practices at 2225 E Wt Harris Blvd Suite 100, Charlotte, NC 28213. The listed phone number is (704) 494-4050.

What is Detra Brooks's specialty?

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

What insurance does Detra Brooks accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and BEST Life and 15 other insurers list Detra Brooks 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 Detra Brooks was last updated on July 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.