Healthcare Provider Details

I. General information

NPI: 1528577780
Provider Name (Legal Business Name): PEAK ENDODONTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 OLIVE CHAPEL RD STE 100
APEX NC
27502-6765
US

IV. Provider business mailing address

1600 OLIVE CHAPEL RD STE 100
APEX NC
27502-6765
US

V. Phone/Fax

Practice location:
  • Phone: 919-363-1419
  • Fax: 919-654-6244
Mailing address:
  • Phone: 919-363-1419
  • Fax: 919-654-6244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. MARIA CRISTINA MARESCA
Title or Position: OWNER
Credential: DDS MS
Phone: 919-363-1419