IndividualActive
Kenneth Corsig, DMD
NPI 1376617324 · Periodontics · Charlotte, NC
Provider details
- NPI number
- 1376617324
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 6328 (NC)
Specialties & taxonomies
Dental Providers
Practice location
3535 Randolph Rd
Suite 103-R
Charlotte, NC 28211-1032
Phone: (704) 365-0123
Fax: (704) 364-8640
Approximate (ZIP-level) locationGet directions
Mailing address
3535 Randolph Rd
Charlotte, NC 28211-1032
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.