| Charles D Payet Dds Pa | |
|
4601 Park Rd Ste 175 Charlotte NC 28209-2297 | |
| (704) 364-7069 | |
| (704) 364-7036 |
| Full Name | Charles D Payet Dds Pa |
|---|---|
| Speciality | Dentist |
| Location | 4601 Park Rd Ste 175, Charlotte, North Carolina |
| Authorized Official Name and Position | Charles D Payet (OWNER) |
| Authorized Official Contact | 7043647069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles D Payet Dds Pa 4601 Park Rd Ste 175 Charlotte NC 28209-2297 Ph: (704) 364-7069 | Charles D Payet Dds Pa 4601 Park Rd Ste 175 Charlotte NC 28209-2297 Ph: (704) 364-7069 |
| NPI Number | 1821262304 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 02/02/2021 |
| Medicare PECOS PAC ID | 8325454556 |
|---|---|
| Medicare Enrollment ID | O20210312000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821262304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6856 (North Carolina) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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