# PRASAD VASAMSETTI DMD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brier Creek Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134468564
- **Authorized official:** DR. PRASAD VEERA VASAMSETTI DMD (OWNER/ MANAGER)
- **Authorized official phone:** (919) 354-5400

## Contact information

- **Practice address:** 7841 ALEXANDER PROMENADE PL, SUITE 100, RALEIGH, NC 27617-1913
- **Practice address phone:** (919) 354-5400
- **Practice address fax:** (919) 354-5401
- **Mailing address:** 7841 ALEXANDER PROMENADE PL, SUITE 100, RALEIGH, NC 27617-1913
- **Mailing address phone:** (919) 354-5400
- **Mailing address fax:** (919) 354-5401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | 5906614 | NC | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | — |

## Other

- **Enumeration date:** 02/05/2013
- **Last updated:** 02/05/2013