Individual
DR. JONATHAN RICHARD PEYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CMC DENTAL CLINIC, 1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2165
(704) 355-8856
Mailing address
558 E BROOKLYN VILLAGE AVE APT 313, CHARLOTTE, NC 28202-3436
(980) 808-7035
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0295
NC
1223G0001X
General Practice Dentistry
0295
NC
125Q00000X
Oral Medicine Dentistry
Primary
0295
NC
Other
Enumeration date
06/27/2022
Last updated
08/27/2025
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