Healthcare Provider Details

I. General information

NPI: 1467768580
Provider Name (Legal Business Name): FRANK KENDRICK DMD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2010
Last Update Date: 08/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8631 ARBOR CREEK DR STE D3
CHARLOTTE NC
28269-0548
US

IV. Provider business mailing address

8631 ARBOR CREEK DR STE D3
CHARLOTTE NC
28269-0548
US

V. Phone/Fax

Practice location:
  • Phone: 704-875-9075
  • Fax: 704-875-9055
Mailing address:
  • Phone: 704-875-9075
  • Fax: 704-875-9055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANK KENDRICK JR.
Title or Position: DENTIST & OWNER
Credential: DMD
Phone: 704-875-9075