MEDICARE: ALTERMAN DHILLON AND ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1265052070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERMAN DHILLON AND ASSOCIATES

Provider Business Mailing Address
First Line	:	9648 CHAPEL HILL RD STE 100
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-7846
Country	:	US
Telephone Number	:	919-948-6787
Fax Number	:

Provider Business Practice Location Address
First Line	:	4815 BEREWICK TOWN CENTER DR STE I&J
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28278-6733
Country	:	US
Telephone Number	:	704-800-0252
Fax Number	:	704-457-5198

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	TIFFANY LORICK
Credential	:
Telephone Number	:	919-948-6787

Provider Enumeration Date	:	04/22/2020
Last Update Date	:	04/22/2020

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