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General NPI Number Information
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NPI Number | 1164376729
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Entity Type | Organization
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Legal Business Name | CHARLOTTE ORTHODONTICS
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 13515 STEELE CREEK RD STE 201
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City | CHARLOTTE
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State | NC
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Zip | 28273-0089
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Country | US
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Telephone | 386-214-1547
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Fax |
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Provider Business Mailing Address
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Address Line | 342 E PETERSON DR
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City | CHARLOTTE
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State | NC
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Zip | 28217-1722
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. EMILY N WILLETT
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Credential | DMD
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Telephone | 386-214-1547
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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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