# GUSTAVO A DELGADO DMD PLLC

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

## Provider details

- **NPI number:** 1215670468
- **Authorized official:** BENJAMIN TUINEI (CREDENTIALING MANAGER)
- **Authorized official phone:** (602) 750-6897

## Contact information

- **Practice address:** 7340 SMITH CORNERS BLVD STE 600, CHARLOTTE, NC 28269-3769
- **Practice address phone:** (910) 387-2126
- **Mailing address:** 7340 SMITH CORNERS BLVD STE 600, CHARLOTTE, NC 28269-3769
- **Mailing address phone:** (910) 387-2126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/15/2022
- **Last updated:** 04/15/2022