# RAYMOND GARRISON DDS PA - UDA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265563852
- **Authorized official:** RAYMOND GARRISON (PRESIDENT)
- **Authorized official phone:** (704) 549-1509

## Contact information

- **Practice address:** 8401 UNIVERSITY EXC DR, SUITE 110, CHARLOTTE, NC 28262
- **Practice address phone:** (704) 547-1970
- **Practice address fax:** (704) 547-1926
- **Mailing address:** 8401 UNIVERSITY EXC PKWY, SUITE 110, CHARLOTTE, NC 28262
- **Mailing address phone:** (704) 547-1970
- **Mailing address fax:** (704) 547-1926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3549 | NC | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 08/22/2020