Organization
STEPHEN J. ROUSE DMD MS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JAMES ROUSE DMD (MANAGER)
(704) 366-2001
Entity
Organization
Contact information
Practice address
309 S SHARON AMITY RD, SUITE #306, CHARLOTTE, NC 28211-2978
(704) 366-2001
(704) 366-4990
Mailing address
309 S SHARON AMITY RD, SUITE #306, CHARLOTTE, NC 28211-2978
(704) 366-2001
(704) 366-4990
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8216
NC
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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