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NPI Code Detail

MEDICARE: ALIGN AMERICA SC, LLC

MEDICARE: ALIGN AMERICA SC, LLC
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number : 1952965345
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALIGN AMERICA SC, LLC
Provider Business Mailing Address
First Line : 3121 SPRINGBANK LN STE G
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-3347
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 130 BEN CASEY DR STE 105
Second Line :
City : FORT MILL
State : SC
Zip : 29708-6566
Country : US
Telephone Number : 803-887-2319
Fax Number :
Authorized Official
Title or Position : CHIEF CLINICAL OFFICER
Name : DR. MARTIN AVEY
Credential :
Telephone Number : 803-887-2319
Provider Enumeration Date : 05/01/2019
Last Update Date : 08/14/2023

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Directions to “ALIGN AMERICA SC, LLC ” Practice Location

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