# ALI SHAHRESTANI, D.M.D., PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Piper Glen Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194591289
- **Authorized official:** ALI SHAHRESTANI DDS (OWNER)
- **Authorized official phone:** (704) 704-2499

## Contact information

- **Practice address:** 6414 REA RD STE C5, CHARLOTTE, NC 28277-4165
- **Practice address phone:** (704) 704-2499
- **Practice address fax:** (704) 326-4181
- **Mailing address:** PO BOX 920050, DALLAS, TX 75392-0050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2023
- **Last updated:** 11/29/2023