MEDICARE: ALTERMAN & DHILLON PIEDMONT, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1245810605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERMAN & DHILLON PIEDMONT, PLLC

Provider Business Mailing Address
First Line	:	9648 CHAPEL HILL RD STE 100
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-7846
Country	:	US
Telephone Number	:	919-948-6787
Fax Number	:	919-590-1519

Provider Business Practice Location Address
First Line	:	5038 PETERS CREEK PKWY UNIT 110
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27127-7173
Country	:	US
Telephone Number	:	336-967-6488
Fax Number	:	336-967-6492

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	TIFFANY LORICK
Credential	:
Telephone Number	:	919-948-6787

Provider Enumeration Date	:	04/10/2021
Last Update Date	:	04/10/2021

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