Provider Demographics
NPI:1609613512
Name:ALDERMAN, KARLEE (DDS)
Entity type:Individual
Prefix:
First Name:KARLEE
Middle Name:
Last Name:ALDERMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2408 SOUTH BLVD APT 338
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5010
Mailing Address - Country:US
Mailing Address - Phone:304-521-8195
Mailing Address - Fax:
Practice Address - Street 1:1422 ORCHARD LAKE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28270-1652
Practice Address - Country:US
Practice Address - Phone:704-849-6670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2024-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC138061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice