IndividualActive
Jonathan Peyton
NPI 1154053445 · Oral Medicine Dentistry · Charlotte, NC
Provider details
- NPI number
- 1154053445
- Entity type
- Individual
- Primary specialty
- Oral Medicine DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 0295 (NC)
Practice location
Cmc Dental Clinic
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone: (704) 355-2165
Fax: (704) 355-8856
Mailing address
558 E Brooklyn Village Ave Apt 313
Charlotte, NC 28202-3436
Registry dates
- Enumerated
- 2022-06-27
- Last updated
- 2025-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.