Healthcare Provider Details

I. General information

NPI: 1730253766
Provider Name (Legal Business Name): PAUL NAPIER TOLMIE DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 RANDOLPH RD SUITE 103-R
CHARLOTTE NC
28211-1032
US

IV. Provider business mailing address

3535 RANDOLPH RD SUITE 103-R
CHARLOTTE NC
28211-1032
US

V. Phone/Fax

Practice location:
  • Phone: 704-365-0123
  • Fax: 704-364-8640
Mailing address:
  • Phone: 704-365-0123
  • Fax: 704-364-8640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number5643
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: