MEDICARE: JOEL JUSTIN NAPENAS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	12675	NC
2	122300000X	Dentist	12675	NC
3	125Q00000X	Oral Medicine Dentistry	12675	NC

General Provider Information

NPI Number	:	1265578074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL JUSTIN NAPENAS DDS

Provider Business Mailing Address
First Line	:	1601 ABBEY PL STE 220
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3825
Country	:	US
Telephone Number	:	704-512-2110
Fax Number	:	704-512-2115

Provider Business Practice Location Address
First Line	:	1601 ABBEY PL
Second Line	:	STE 220
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3835
Country	:	US
Telephone Number	:	704-512-2110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	12/03/2025

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