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

Southlake Family and Cosmetic Dentistry

Organization General Practice Dentistry · NPI 1598131575

Southlake Family and Cosmetic Dentistry is a General Practice Dentistry in Huntersville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015

Practice location Address checks out

9625 Northcross Center Ct
Huntersville, NC 28078-7348
Phone: (704) 987-0505
Fax: (704) 655-8655
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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 · Licence 8439 (NC)

Record details

NPI number1598131575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Yura — Dentist · (704) 987-0505
NPI enumeratedAugust 13, 2015
Last updated in NPPESAugust 13, 2015
Mailing address9625 Northcross Center Ct, Huntersville, NC 28078-7348

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