Organization
CHARLES D PAYET DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES D PAYET DDS (OWNER)
(704) 364-7069
Entity
Organization
Contact information
Practice address
4601 PARK RD STE 175, CHARLOTTE, NC 28209-2297
(704) 364-7069
(704) 364-7036
Mailing address
4601 PARK RD STE 175, CHARLOTTE, NC 28209-2297
(704) 364-7069
(704) 364-7036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6856
NC
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
04/16/2008
Last updated
02/02/2021
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