Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Idlewild Family Dentistry, LLC

Organization General Practice Dentistry · NPI 1649783119

Idlewild Family Dentistry, LLC is a General Practice Dentistry in Indian Trail, North Carolina. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4801 Indian Trail Fairview Rd
Indian Trail, NC 28079-8865
Phone: (704) 893-0351
Fax: (704) 893-0354
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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
Sleep Disorder Diagnostic Clinic/Center Taxonomy 261QS1200X

Record details

NPI number1649783119
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitesh Dhulab — Owner · (704) 893-0351
Other names Idlewild Family Dentistry
NPI enumeratedNovember 7, 2017
Last updated in NPPESNovember 7, 2017
Mailing address4801 Indian Trail Fairview Rd, Indian Trail, NC 28079-8865

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