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SOUTHPARK DENTISTRY
NPI 1992976559
Clinic/Center - Dental in Charlotte, NC

Active since March 21, 2008
6865 FAIRVIEW RD, SUITE A, CHARLOTTE, NC 28210(704) 364-9686 Get Directions Write a Review

NPPES record last updated: March 21, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southpark Dentistry NPPES

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

SOUTHPARK DENTISTRY (NPI 1992976559) is a healthcare organization registered as a dental in Charlotte, North Carolina and active in the NPI registry since March 2008. The organization lists Douglas Stuckey, General Partner, as its authorized official.

NPPES Registry Identity

NPI1992976559
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSTUCKEY & MUDD DDS
Location Address6865 FAIRVIEW RD, SUITE ACharlotte, NC 28210-2700
Mailing Address6865 Fairview Rd, Suite ACharlotte, NC 28210-2700 · (704) 364-9686
Phone(704) 364-9686
Organization SubpartNo
Authorized OfficialDouglas StuckeyGeneral Partner · (704) 364-9686
Enumeration DateMarch 21, 2008
✔ NPI 1992976559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Licenses✔ Licensed in NC · NC5980✔ Licensed in NC · NC 7310
6865 FAIRVIEW RD, Charlotte, NC 28210
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Other Names 1

Doing Business AsSouthpark Dentistry

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.

DR. DOUGLAS A. STUCKEY D.D.S.
Dentist (General Practice)
6865 FAIRVIEW RD, SUITE A
CHARLOTTE, NC 28210
Mecklenburg County (704) 364-9686
DR. BRYAN ALEXANDER MUDD DDS
Dentist (General Practice)
6865 FAIRVIEW RD, SUITE A
CHARLOTTE, NC 28210
Mecklenburg County (704) 364-9686

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 Stuckey & Mudd Dds's NPI number?

The NPI number for Stuckey & Mudd Dds is 1992976559. It was assigned to this organization in the NPPES registry on March 21, 2008. The provider is doing business as Southpark Dentistry.

Where is Stuckey & Mudd Dds located?

Stuckey & Mudd Dds is located at 6865 Fairview Rd Suite A, Charlotte, NC 28210. The listed phone number is (704) 364-9686.

What is Stuckey & Mudd Dds's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Stuckey & Mudd Dds was last updated on March 21, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.