NPI 1114647013

Cedric Dean, CPP

Practitioner Prevention Professional Charlotte, NC

Practice location

Address: 2001 Catherine Simmons Ave, Charlotte, NC 28216-4677
Phone: (704) 492-1533
Mailing address: 5502 McChesney Dr, Charlotte, NC 28269-7188

Registered specialties (4)

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 2021877201 (NC)

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Home Modifications Contractor

Other Service Providers Taxonomy 171WH0202X Licence 2021877201 (NC)

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Public Health or Welfare Agency

Agencies Taxonomy 251K00000X Licence 2021877201 (NC)

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Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence 2021877201 (NC)

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Registry record

NPI: 1114647013
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2022
Record last updated: 24 Jun 2024

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.