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NPI Code Detail

MEDICARE: DR. REGINA K HELTON DMD

MEDICARE:  DR. REGINA K HELTON  DMD
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
11223G0001XGeneral Practice Dentistry11155NC

General Provider Information

NPI Number : 1700363595
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REGINA K HELTON DMD
Provider Business Mailing Address
First Line : 15655 GREYTHORNE DR APT 102
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-4758
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3053 FREEDOM DR STE B
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-3859
Country : US
Telephone Number : 704-393-3911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2018
Last Update Date : 07/24/2018

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Directions to “ DR. REGINA K HELTON DMD” Practice Location

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