Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 9421 | NC |
NPI | 1033559299 |
---|---|
Provider Name | Dr. Matthew W Lineberger |
First Address | Huntersville, NC 28078-4909 |
Second Address | Huntersville, NC 28078-4909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2013 |
Last Update Date | 02/07/2013 |