DILWORTH DERMATOLOGY AND LASER, PLLC – NPI #1417934001
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

DILWORTH DERMATOLOGY AND LASER, PLLC is a dermatologist located in CHARLOTTE, NC. NPPES has assigned the NPI number 1417934001 to DILWORTH DERMATOLOGY AND LASER, PLLC on December 27, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is DERMATOLOGIC LASER CENTER, PLLC. The primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was previously updated about 2 years ago on Apr 16, 2024. 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 DILWORTH DERMATOLOGY AND LASER, PLLC below.

NPI Profile for
DILWORTH DERMATOLOGY AND LASER, PLLC

NPI Number
1417934001
Enumeration Date

(more than 20 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
DILWORTH DERMATOLOGY AND LASER, PLLC
Former Legal Business Name: DERMATOLOGIC LASER CENTER, PLLC
Primary location
719 EAST BOULEVARD
CHARLOTTE, NC 28203
Phone: (704) 376-9849 Fax: (704) 333-0708
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DENISE HUDSON
OFFICE MANAGER
Phone: (704) 376-9849
Updated
Certification Date
Apr 16, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DILWORTH DERMATOLOGY AND LASER, PLLC

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
otherBCBSNC0229K
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
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)

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.