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RAYNALD LEON DESAMEAU DMD
NPI 1710534904
Dentist in Charlotte, NC

Active since August 22, 2019
10460 PARK RD, CHARLOTTE, NC 28210(704) 540-5440 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raynald Leon Desameau Dmd NPPES

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

RAYNALD LEON DESAMEAU DMD (NPI 1710534904) is an individual dentist in Charlotte, North Carolina, licensed in North Carolina (11583) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1710534904
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameRAYNALD LEON DESAMEAUCredential: DMD
Location Address10460 PARK RDCharlotte, NC 28210-8536
Mailing Address10460 Park RdCharlotte, NC 28210-8536 · (704) 540-5440 · Fax (704) 540-5441
Phone(704) 540-5440
Sole ProprietorYes
Enumeration DateAugust 22, 2019
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 22, 2024
✔ NPI 1710534904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NC · 11583
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
10460 PARK RD, Charlotte, NC 28210
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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 L. DESAMEAU DMD PLLC
Dentist (General Practice)
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 Desameau's NPI number?

The NPI number for Raynald Desameau is 1710534904. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Where is Raynald Desameau located?

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

What is Raynald Desameau's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Raynald Desameau accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and BEST Life and 16 other insurers list Raynald Desameau 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 Desameau was last updated on October 28, 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.