1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Dentist
  6. NPI Profile

RAYNALD L. DESAMEAU DMD PLLC
NPI 1578385191
Dentist - General Practice 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 NPPES

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

RAYNALD L. DESAMEAU DMD PLLC (NPI 1578385191), doing business as Radiant Smiles Family Dentistry, is a healthcare organization registered as a general practice 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

NPI1578385191
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRAYNALD L. DESAMEAU DMD PLLC
Location Address10460 PARK RDCharlotte, NC 28210
Mailing Address10460 Park RdCharlotte, NC 28210 · (704) 540-5440
Phone(704) 540-5440
Organization SubpartNo
Authorized OfficialRaynald Leon DesameauOwner/member · (912) 332-3932
Enumeration DateOctober 25, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1578385191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
10460 PARK RD, Charlotte, NC 28210
Open in Google Maps ↗

Other Names 1

Doing Business AsRadiant Smiles Family Dentistry

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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.

RAYNALD L. DESAMEAU DMD PLLC IV
Dentist (Orthodontics and Dentofacial Orthopedics)
10460 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 540-5440
RAYNALD LEON DESAMEAU DMD
Dentist
10460 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 540-5440
NADINE L SCOTT PA-C
Physician Assistant
10460 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 541-3055

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's NPI number?

The NPI number for Raynald L. Desameau Dmd PLLC is 1578385191. It was assigned to this organization in the NPPES registry on October 25, 2024. The provider is doing business as Radiant Smiles Family Dentistry.

Where is Raynald L. Desameau Dmd PLLC located?

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

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

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Raynald L. Desameau Dmd PLLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Raynald L. Desameau Dmd PLLC 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 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.