Provider Demographics
NPI:1124178025
Name:MCLEOD, H. W (DMD)
Entity type:Individual
Prefix:DR
First Name:H.
Middle Name:W
Last Name:MCLEOD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8810 BLAKENEY PROFESSIONAL DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-6595
Mailing Address - Country:US
Mailing Address - Phone:704-540-1900
Mailing Address - Fax:
Practice Address - Street 1:8810 BLAKENEY PROFESSIONAL DR
Practice Address - Street 2:SUITE 120
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-6595
Practice Address - Country:US
Practice Address - Phone:704-540-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC65891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice