MEDICARE: ALTERMAN & DHILLON CHARLOTTE METRO, PPLC

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	122300000X	Dentist

General Provider Information

NPI Number	:	1427549807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERMAN & DHILLON CHARLOTTE METRO, PPLC

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	:
Fax Number	:	702-933-8673

Provider Business Practice Location Address
First Line	:	2205 E. FRANKLIN BLVD
Second Line	:	STE 110
City	:	GASTONIA
State	:	NC
Zip	:	28054
Country	:	US
Telephone Number	:	704-800-0303
Fax Number	:	702-933-8673

Authorized Official
Title or Position	:	REVENUE CYCLE MANAGER
Name	:	JENNIFER LYNN FROMHART
Credential	:
Telephone Number	:	702-852-2262

Provider Enumeration Date	:	05/22/2018
Last Update Date	:	05/22/2018

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