MEDICARE: KAITLIN LAXER DANZE DDS

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	122300000X	Dentist	30.026052	OH
2	1223P0221X	Pediatric Dentistry	30.026052	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972061117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLIN LAXER DANZE DDS

Provider Business Mailing Address
First Line	:	7820 BALLANTYNE COMMONS PKWY STE 200
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-2889
Country	:	US
Telephone Number	:	704-759-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	7820 BALLANTYNE COMMONS PKWY STE 200
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-2889
Country	:	US
Telephone Number	:	704-759-0000
Fax Number	:

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

Provider Enumeration Date	:	03/06/2019
Last Update Date	:	12/12/2022

Similar Medicare Providers

1265520498 — JUDY LAXER D.D.S., CERT. PEDO
Practice Location Address:

7820 BALLANTYNE COMMONS PKWY STE 200
CHARLOTTE, NC
28277-2889

Practice Phone: 704-759-0000
Practice Fax: 704-759-9937

1952499188 — MATTHEW SAVAGE D.D.S., M.S.
Practice Location Address:

7820 BALLANTYNE COMMONS PKWY STE 200
CHARLOTTE, NC
28277-2889

Practice Phone: 704-759-0000
Practice Fax: 704-759-9937

1548333818 — DR. LINWOOD LONG D.D.S., M.S., D. ORT
Practice Location Address:

7820 BALLANTYNE COMMONS PKWY STE 200
CHARLOTTE, NC
28277-2889

Practice Phone: 704-759-0000
Practice Fax: 704-759-9937

1437353711 — DR. ROBERT L HARRELL
Practice Location Address:

7820 BALLANTYNE COMMONS PKWY STE 102
CHARLOTTE, NC
28277-2889

Practice Phone: 704-541-9888
Practice Fax: 704-541-7944

1194922807 — MR. STEVEN DARRELL TYNDALL LPTA
Practice Location Address:

7820 BALLANTYNE COMMONS PKWY STE 100
CHARLOTTE, NC
28277-2889

Practice Phone: 800-472-7117
Practice Fax:

1689808164 — DR. LAURIE TEDDER CAMPBELL DMD
Practice Location Address:

7820 BALLANTYNE COMMONS PKWY STE 200
CHARLOTTE, NC
28277-2889

Practice Phone: 704-759-0000
Practice Fax: 704-759-9937

Directions to “ KAITLIN LAXER DANZE DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.