RAYNALD L. DESAMEAU DMD PLLC IV
NPI 1003638719
Dentist - Orthodontics and Dentofacial Orthopedics in Charlotte, NC

Active since October 25, 2024
10460 PARK RD, CHARLOTTE, NC 28210(704) 540-5440 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raynald L. Desameau Dmd Pllc Iv NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAYNALD L. DESAMEAU DMD PLLC IV (NPI 1003638719), doing business as Galaxy Orthodontics, is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Charlotte, North Carolina and active in the NPI registry since October 2024. The organization lists Raynald Leon Desameau, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1003638719
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameRAYNALD L. DESAMEAU DMD PLLC IV
Location Address10460 PARK RDCharlotte, NC 28210
Mailing Address10460 Park RdCharlotte, NC 28210 · (704) 540-5440
Organization SubpartNo
Authorized OfficialRaynald Leon DesameauOwner/member · (912) 332-3932
Enumeration DateOctober 25, 2024
NPPES CertifiedOctober 22, 2024
NPI 1003638719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
10460 PARK RD, Charlotte, NC 28210

Other Names 1

Doing Business AsGalaxy Orthodontics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
10460 PARK RD
CHARLOTTE, NC 28210
Dentist
10460 PARK RD
CHARLOTTE, NC 28210
Physician Assistant
10460 PARK RD
CHARLOTTE, NC 28210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raynald L. Desameau Dmd PLLC IV's NPI number?

The NPI number for Raynald L. Desameau Dmd PLLC IV is 1003638719. It was assigned to this organization in the NPPES registry on October 25, 2024. The provider is doing business as Galaxy Orthodontics.

Where is Raynald L. Desameau Dmd PLLC IV located?

Raynald L. Desameau Dmd PLLC IV is located at 10460 Park Rd, Charlotte, NC 28210. The listed phone number is (704) 540-5440.

What is Raynald L. Desameau Dmd PLLC IV's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Raynald L. Desameau Dmd PLLC IV accept?

Health plans from Blue Cross and Blue Shield of NC list Raynald L. Desameau Dmd PLLC IV as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raynald L. Desameau Dmd PLLC IV was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.