1396057006

Everything you always wanted to know about DR. SPIVEY CUSTRED JULIE DMD but were afraid to ask.

DR. SPIVEY CUSTRED JULIE DMD

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Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. SPIVEY CUSTRED JULIE DMD
Gender:
Female
Enumeration date:
2010-07-10
Last update date:
2016-09-07
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
1223G0001X General Practice AL 5764 N
1223P0221X Pediatric Dentistry NC 10515 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 7049210204
Practice Location Address Telephone Number 7049210204

Addresses

Type Address City State Postal Country
Mailing Address 4901 N TRYON ST UNIT A CHARLOTTE NC 0 NC
Practice Location Address 4901 N TRYON ST UNIT A CHARLOTTE NC 0 NC

Other NPI Records that share a phone number

NPI Name Address State City
1013912427 RIVERA, RAFAEL
Individual
4901 N TRYON ST NC CHARLOTTE
1134237878 ZIEZIULA, JEFFREY
Individual
4901 N TRYON ST NC CHARLOTTE
1194994004 RAFAEL RIVERA, JR, DDS, PLLC
Organization
4901 N TRYON ST NC CHARLOTTE
1265667000 CHANDLER, ASHLEY
Individual
4901 N TRYON ST NC CHARLOTTE
1386752046 SCHNEIDER, CATHERINE
Individual
4901 N TRYON ST NC CHARLOTTE
1386752061 KENDRICK, FRANK
Individual
4901 N TRYON ST NC CHARLOTTE
1598700775 MICHAEL A DEROSE DDS PA
Organization
4901 N TRYON ST NC CHARLOTTE
1871800979 PATEL, DIPTI
Individual
4901 N TRYON ST NC CHARLOTTE
1902918444 MINOR, KIMBERLY
Individual
4901 N TRYON ST NC CHARLOTTE
1912230236 WILLIAMSON, SARAH
Individual
4901 N TRYON ST NC CHARLOTTE

Other NPI Records that share an address

NPI Name Address State City
1013912427 RIVERA, RAFAEL
Individual
4901 N TRYON ST NC CHARLOTTE
1134237878 ZIEZIULA, JEFFREY
Individual
4901 N TRYON ST NC CHARLOTTE
1194994004 RAFAEL RIVERA, JR, DDS, PLLC
Organization
4901 N TRYON ST NC CHARLOTTE
1265667000 CHANDLER, ASHLEY
Individual
4901 N TRYON ST NC CHARLOTTE
1386752046 SCHNEIDER, CATHERINE
Individual
4901 N TRYON ST NC CHARLOTTE
1386752061 KENDRICK, FRANK
Individual
4901 N TRYON ST NC CHARLOTTE
1598700775 MICHAEL A DEROSE DDS PA
Organization
4901 N TRYON ST NC CHARLOTTE
1871800979 PATEL, DIPTI
Individual
4901 N TRYON ST NC CHARLOTTE
1902918444 MINOR, KIMBERLY
Individual
4901 N TRYON ST NC CHARLOTTE
1912230236 WILLIAMSON, SARAH
Individual
4901 N TRYON ST NC CHARLOTTE