1114566577 NPI number — THOME LOWERY & HENDRICK DDS PLLC

Table of content: NAPOLEON ANTONIO PUENTE CUELLAR M.D. (NPI 1962675488)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114566577 NPI number — THOME LOWERY & HENDRICK DDS PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THOME LOWERY & HENDRICK DDS PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1114566577
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/16/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8604 CLIFF CAMERON DR STE 170
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28269-8508
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
980-729-5200
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1637 COLLEGE AVE STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPINDALE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28160-0016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-385-5081
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/03/2020

Additional Information

Authorized Official

Authorized Official Last Name:
THOME
Authorized Official First Name:
DAVIDE
Authorized Official Middle Name:
EUGENE
Authorized Official Title or Position:
OWNER/DENTIST
Authorized Official Telephone Number:
980-729-5200

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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