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Individual

DR. RAMON DENNIS PELEAUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS MD

Contact information

Practice address
3541 RANDOLPH RD, 302, CHARLOTTE, NC 28211-1082
(980) 224-7737
(980) 224-7769
Mailing address
3541 RANDOLPH RD, 302, CHARLOTTE, NC 28211-1082
(980) 224-7737
(980) 224-7769

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6073
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9300560
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01083
BCBS
01
0607279
AETNA
01
1399117
UNITED HEALTHCARE
01
19578
WELLPATH
01
3864523
CIGNA
01
560953592
TAX ID
05
8966771
NC
Enumeration date
05/19/2006
Last updated
05/10/2012
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