MEDICARE: RDEST DDS PLLC III

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	122300000X	Dentist	5283	NC

General Provider Information

NPI Number	:	1902229420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RDEST DDS PLLC III

Provider Business Mailing Address
First Line	:	201 MCCULLOUGH DR
Second Line	:	SUITE 180
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-3577
Country	:	US
Telephone Number	:	704-790-4410
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 MCCULLOUGH DR
Second Line	:	SUITE 180
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-3577
Country	:	US
Telephone Number	:	704-790-4410
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RICHARD F DEST
Credential	:	DDS
Telephone Number	:	704-790-4410

Provider Enumeration Date	:	02/04/2014
Last Update Date	:	04/11/2017

Similar Medicare Providers

1841121324 — RYLEE PIERSON
Practice Location Address:

201 MCCULLOUGH DR
CHARLOTTE, NC
28262-3577

Practice Phone: 704-910-3260
Practice Fax: 980-422-0336

1568468502 — PROACTIVE THERAPY OF NORTH CAROLINA INC
Practice Location Address:

201 MCCULLOUGH DR STE 310
CHARLOTTE, NC
28262-3577

Practice Phone: 704-547-1129
Practice Fax: 704-547-9056

1104118488 — DR. LUKE ANDREW BENNETT D.C.
Practice Location Address:

201 MCCULLOUGH DR , SUITE 160
CHARLOTTE, NC
28262-3577

Practice Phone: 304-544-6548
Practice Fax:

1720373186 — LUKE A BENNETT LLC
Practice Location Address:

201 MCCULLOUGH DR , SUITE 160
CHARLOTTE, NC
28262-3577

Practice Phone: 304-544-6548
Practice Fax:

1457629313 — TOPTEAM FITNESS ACADEMY, INC.
Practice Location Address:

201 MCCULLOUGH DR , SUITE 160
CHARLOTTE, NC
28262-3577

Practice Phone: 980-207-0970
Practice Fax:

1871849497 — DR. MICHAEL STEVEN ARRANDT DC
Practice Location Address:

201 MCCULLOUGH DR , SUITE 160
CHARLOTTE, NC
28262-3577

Practice Phone: 805-886-1402
Practice Fax:

Directions to “RDEST DDS PLLC III ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.