NPI 1003089111

Charlotte Broughton, DDS

Organisation Dentist Winston Salem, NC

Practice location

Address: 140 Lockland Ave, Winston Salem, NC 27103-2709
Phone: (336) 722-7534
Fax: (336) 722-4518

Authorised official

Name: Lee T Dixon
Title: Office Manager
Phone: (336) 722-7534

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 7114 (NC)

Other Dentist providers in North Carolina →

Registry record

NPI: 1003089111
Entity type: Organization
NPI issued: 9 Apr 2008
Record last updated: 30 Jun 2008

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.