Healthcare Provider Details

I. General information

NPI: 1659139475
Provider Name (Legal Business Name): CAROLYN NEUMEISTER DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7215 LEBANON RD
MINT HILL NC
28227-9026
US

IV. Provider business mailing address

7215 LEBANON RD
MINT HILL NC
28227-9026
US

V. Phone/Fax

Practice location:
  • Phone: 704-412-5000
  • Fax: 980-201-9818
Mailing address:
  • Phone: 704-412-5000
  • Fax: 980-201-9818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number14762
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: