OrganizationActive
Roger G. Tans, D.D.S., P.A.
NPI 1124291166 · Exclusive Provider Organization · Charlotte, NC
Provider details
- NPI number
- 1124291166
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Roger Tans, Owner(704) 341-0016
- License
- 5189 (NC)
Specialties & taxonomies
Managed Care Organizations
Practice location
3121 Springbank Ln Ste D
Charlotte, NC 28226-3347
Phone: (704) 341-0016
Approximate (ZIP-level) locationGet directions
Mailing address
3121 Springbank Ln Ste D
Charlotte, NC 28226-3347
Registry dates
- Enumerated
- 2008-04-10
- Last updated
- 2008-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.