MEDICARE: M AVEY & ASSOCIATES NC PC IX

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	:	1548119209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M AVEY & ASSOCIATES NC PC IX

Provider Business Mailing Address
First Line	:	3135 SPRINGBANK LN STE 210
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-3361
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3135 SPRINGBANK LN STE 210
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-3361
Country	:	US
Telephone Number	:	704-544-9199
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DAVID LEVINE
Credential	:
Telephone Number	:	704-516-2496

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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