Tashana Detwiler
Dental Public Health
280 Concord Pkwy S Ste 110a
Concord
, North Carolina 28027-2704
Tashana Detwiler
Dental Public Health
280 Concord Pkwy S Ste 110a
Concord
, North Carolina 28027-2704
(704) 780-3714
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Tashana Detwiler
- 5008 Shadow Pine Dr
- Charlotte, NC
- Zip : 28269-5142
- Phone : (704) 780-3714
Second Address
- Tashana Detwiler
- 280 Concord Pkwy S Ste 110a
- Concord, NC
- Zip : 28027-2704
- Fax : (704) 920-1071
- Phone : (704) 920-1070
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 12420 | NC |
National Provider Identifier
| NPI | 1205500147 |
|---|---|
| Provider Name | Tashana Detwiler |
| First Address | Charlotte, NC 28269-5142 |
| Second Address | Concord, NC 28027-2704 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2021 |
| Last Update Date | 04/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.