Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mallard Creek Family Dentistry LLP

Organization General Practice Dentistry · NPI 1306488382

Mallard Creek Family Dentistry LLP provides General Practice Dentistry in Charlotte, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLP — Limited liability partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3010 Baucom Rd Ste 200
Charlotte, NC 28269-6765
Phone: (704) 596-0021
Fax: (704) 599-1155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1306488382
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suzi Wallace — Practice Administrator · (704) 596-0021
NPI enumeratedOctober 11, 2019
Last updated in NPPESOctober 11, 2019
Mailing address3010 Baucom Rd Ste 200, Charlotte, NC 28269-6765

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