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NPI Code Detail

MEDICARE: PHELPS DMD & ASSOCIATES

MEDICARE: PHELPS DMD & 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
1122300000XDentist

General Provider Information

NPI Number : 1558295444
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHELPS DMD & ASSOCIATES
Provider Business Mailing Address
First Line : 6016 HATHAWAY LN
Second Line :
City : WAXHAW
State : NC
Zip : 28173-7327
Country : US
Telephone Number : 704-779-7881
Fax Number :
Provider Business Practice Location Address
First Line : 6900 FARMINGDALE DR STE B
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-5551
Country : US
Telephone Number : 704-457-8630
Fax Number : 704-457-8886
Authorized Official
Title or Position : PRESIDENT
Name : DR. CHRISTOPHER LATHAM PHELPS
Credential : DMD
Telephone Number : 704-779-7881
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “PHELPS DMD & ASSOCIATES ” Practice Location

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