# JOHN RUOCCO & ASSOCIATES PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Promenade Center for Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194067009
- **Authorized official:** DR. JOHN RUOCCO DDS (PRESIDENT)
- **Authorized official phone:** (704) 996-2245

## Contact information

- **Practice address:** 10844 PROVIDENCE RD, SUITE 270, CHARLOTTE, NC 28277-3596
- **Practice address phone:** (704) 996-2245
- **Mailing address:** 1009 BALTUSROL LN, WAXHAW, NC 28173-9045
- **Mailing address phone:** (704) 996-2245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7738 | NC | Yes |

## Other

- **Enumeration date:** 03/19/2013
- **Last updated:** 03/19/2013