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NPI Code Detail

MEDICARE: RICHARD F. DEST, DDS, PA

MEDICARE: RICHARD F. DEST, DDS, PA
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
11223G0001XGeneral Practice Dentistry5283NC

General Provider Information

NPI Number : 1750458246
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHARD F. DEST, DDS, PA
Provider Business Mailing Address
First Line : 8305 UNIVERSITY EXEC PARK DR
Second Line : SUITE 300
City : CHARLOTTE
State : NC
Zip : 28262-1361
Country : US
Telephone Number : 704-547-1279
Fax Number : 704-547-8383
Provider Business Practice Location Address
First Line : 8305 UNIVERSITY EXEC PARK DR
Second Line : SUITE 300
City : CHARLOTTE
State : NC
Zip : 28262-1361
Country : US
Telephone Number : 704-547-1279
Fax Number : 704-547-8383
Authorized Official
Title or Position : PRESIDENT
Name : DR. RICHARD F. DEST
Credential : DDS
Telephone Number : 704-547-1279
Provider Enumeration Date : 11/29/2006
Last Update Date : 03/25/2009

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