Provider Demographics
NPI:1619714821
Name:SPRINGER, CHELSEA MORGAN (DMD)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:MORGAN
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 W TREMONT AVE UNIT 418
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5496
Mailing Address - Country:US
Mailing Address - Phone:980-210-1916
Mailing Address - Fax:
Practice Address - Street 1:10214 COULOAK DR STE 101
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-7676
Practice Address - Country:US
Practice Address - Phone:704-394-3109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13865122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist