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 |
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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 |
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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 |
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Provider Enumeration Date | 04/16/2008 |
Last Update Date | 02/02/2021 |
Medicare PECOS PAC ID | 8325454556 |
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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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Drs Reimels & Miller Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 Central Ave, Charlotte, NC 28205 Phone: 704-900-7301 | |
South Park Oral Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2719 Coltsgate Rd, Charlotte, NC 28211 Phone: 704-366-8707 Fax: 704-366-8717 | |
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