# GORDON J. ROZNIK DMD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073784922
- **Authorized official:** DR. GORDON J ROZNIK DMD PA (DENTIST)
- **Authorized official phone:** (704) 375-7711

## Contact information

- **Practice address:** 400 S TRYON, SUITE M4, CHARLOTTE, NC 28285-1901
- **Practice address phone:** (704) 375-7711
- **Practice address fax:** (704) 375-3470
- **Mailing address:** 400 S TRYON, SUITE M4, CHARLOTTE, NC 28285-1901
- **Mailing address phone:** (704) 375-7711
- **Mailing address fax:** (704) 375-3470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6775 | NC | Yes |

## Other

- **Enumeration date:** 03/19/2008
- **Last updated:** 03/19/2008