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Dr. Julie Custred Spivey, DMD
Pediatric Dentist in Charlotte, North Carolina
NPI 1396057006

Julie Custred Spivey is a Pediatric Dentist based in Charlotte, NC and is specialized in Pediatric Dentistry. Julie Custred Spivey practices in Charlotte, NC and has the professional credentials of DMD. The NPI Number for Julie Custred Spivey is 1396057006 and holds a License No. 5764 (North Carolina).

The current practice location address for Julie Custred Spivey is 4901 N Tryon St, Charlotte, NC and can be reached out via phone at 704-921-0204.

Location: 4901 N Tryon St, Charlotte, NC, 28213-7076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396057006
Provider Name
Julie Custred Spivey
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
4901 N Tryon St, Charlotte, NC, 28213-7076
Phone Number
704-921-0204
Fax Number
Provider Enumeration Date
07/10/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4901 N Tryon St
City
Charlotte
State
North Carolina
Zip
28213-7076
Phone Number
704-921-0204
Fax Number
person
Provider Business Mailing Address Details
Address
4901 N Tryon St
City
Charlotte
State
North Carolina
Zip
28213-7076
Phone Number
704-921-0204
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
10515 (North Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
5764 (Alabama)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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