1689309916 NPI number — LAURA A COLLATZ, DDS PA

Table of content: (NPI 1689309916)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689309916 NPI number — LAURA A COLLATZ, DDS PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAURA A COLLATZ, DDS PA
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:
ENCHANTING SMILES FAMILY DENTISTRY
Provider Other Organization Name Type Code:
3
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:
1689309916
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/25/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
360 WEST ST STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBORO
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27312-9448
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-542-2712
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
360 WEST ST STE 100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27312-9448
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-542-2712
Provider Business Practice Location Address Fax Number:
919-542-7279
Provider Enumeration Date:
07/20/2022

Additional Information

Authorized Official

Authorized Official Last Name:
COLLATZ
Authorized Official First Name:
LAURA
Authorized Official Middle Name:
A
Authorized Official Title or Position:
DENTIST/CEO
Authorized Official Telephone Number:
919-542-2712

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QD0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 5913556 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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