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General NPI Number Information
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NPI Number | 1134858673
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Entity Type | Organization
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Legal Business Name | M. AVEY & ASSOCIATES NC PC I
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 201 PATTERSON ST
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City | CHINA GROVE
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State | NC
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Zip | 28023-2033
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Country | US
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Telephone | 704-857-7497
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Fax |
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Provider Business Mailing Address
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Address Line | 3135 SPRINGBANK LN STE 100
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City | CHARLOTTE
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State | NC
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Zip | 28226-3363
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Country | US
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Telephone | 704-516-2496
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/DENTIST
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Name | MARTIN C. AVEY
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Credential | D.M.D., M.S.
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Telephone | 803-650-3068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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