NPI 1003048752

Bradford L Picot, DDS, P.A.

Organisation General Practice Dentistry Charlotte, NC

Practice location

Address: 1520 South Blvd Suite 110, Charlotte, NC 28203-4786
Phone: (704) 335-8266
Fax: (704) 335-8267

Authorised official

Name: Bradford Lee Picot
Title: Owner/Dentist
Phone: (704) 335-8266

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 8158 (NC)

Other Dentist providers in North Carolina →

Health Maintenance Organization

Managed Care Organizations Taxonomy 302R00000X Licence 8158 (NC)

Other Health Maintenance Organization providers in North Carolina →

Registry record

NPI: 1003048752
Entity type: Organization
NPI issued: 13 Aug 2009
Record last updated: 13 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.