CENTER CITY DENTAL – NPI #1851897854
Clinic/Center

CENTER CITY DENTAL is an AHC clinic located in CHARLOTTE, NC. NPPES has assigned the NPI number 1851897854 to CENTER CITY DENTAL on March 30, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTER CITY DENTAL” is a dba name, the actual legal business name for this organization is BOSSOLINA DDS PLLC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 7 years ago on Feb 08, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTER CITY DENTAL below.

NPI Profile for
BOSSOLINA DDS PLLC

NPI Number
1851897854
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOSSOLINA DDS PLLC
Doing Business As (dba): CENTER CITY DENTAL
Primary location
400 SOUTH TRYON STREET
SUITE M-4
CHARLOTTE, NC 28202
Phone: (704) 376-5950 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL BOSSOLINA
OWNER
Phone: (248) 979-4323
Updated
Identifiers

Identifiers for CENTER CITY DENTAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPERSONAL, NOT BUSINESS NPI1013205368
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)
NC 10133

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.