MEDICARE: DR. IKRAMUDDIN AUKHIL B.D.S., M.S.

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	1223P0300X	Periodontics	13005	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13005	OTHER	NC	NC LICENSE

General Provider Information

NPI Number	:	1649220799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IKRAMUDDIN AUKHIL B.D.S., M.S.

Provider Business Mailing Address
First Line	:	PO BOX 602790
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-2790
Country	:	US
Telephone Number	:	252-737-7856
Fax Number	:

Provider Business Practice Location Address
First Line	:	1851 MACGREGOR DOWNS RD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-5925
Country	:	US
Telephone Number	:	252-737-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	05/01/2023

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