Healthcare Provider Details

I. General information

NPI: 1033482286
Provider Name (Legal Business Name): DENTINGER CHIROPRACTIC AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2012
Last Update Date: 02/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W WILLIAMS ST SUITE 201
APEX NC
27502-5203
US

IV. Provider business mailing address

800 W WILLIAMS ST SUITE 201
APEX NC
27502-5203
US

V. Phone/Fax

Practice location:
  • Phone: 919-367-2828
  • Fax:
Mailing address:
  • Phone: 919-367-2828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number4242
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1427320662
Identifier TypeOTHER
Identifier StateNC
Identifier IssuerNPI TYPE 1

VIII. Authorized Official

Name: DR. CATHERINE E DENTINGER
Title or Position: CHIROPRACTIC PHYSICIAN
Credential: D.C.
Phone: 716-867-3702