Healthcare Provider Details

I. General information

NPI: 1972445252
Provider Name (Legal Business Name): PRISCILLA CARPENTER LOCKHART, D.D.S., M.S., P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 AYRSLEY TOWN BLVD STE 109A
CHARLOTTE NC
28273-4068
US

IV. Provider business mailing address

2015 AYRSLEY TOWN BLVD STE 109A
CHARLOTTE NC
28273-4068
US

V. Phone/Fax

Practice location:
  • Phone: 704-208-4900
  • Fax: 704-208-4914
Mailing address:
  • Phone: 704-208-4900
  • Fax: 704-208-4914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. PRISCILLA C LOCKHART
Title or Position: OWNER DENTIST
Credential: DDS, MS
Phone: 704-208-4900