| North State Perio | |
|
2315 W Arbors Dr Ste 100 Charlotte NC 28262-2660 | |
| (704) 549-4991 | |
| (704) 549-0135 |
| Full Name | North State Perio |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2315 W Arbors Dr Ste 100, Charlotte, North Carolina |
| Authorized Official Name and Position | Kenneth P Rasenberger (OWNER / DENTIST) |
| Authorized Official Contact | 7045494991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North State Perio 2315 W Arbors Dr Ste 100 Charlotte NC 28262-2660 Ph: (704) 549-4991 | North State Perio 2315 W Arbors Dr Ste 100 Charlotte NC 28262-2660 Ph: (704) 549-4991 |
| NPI Number | 1033294483 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033294483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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