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NPI 1609334820

IndividualActive

Ashley Pater

NPI 1609334820 · Periodontics · Charlotte, NC

Provider details

NPI number: 1609334820
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Sex: Female
Sole proprietor: No
License: 12730 (NC)

Specialties & taxonomies

PeriodonticsPrimary1223P0300XLicense 12730 (NC)
Dental Providers

Practice location

6719 Fairview Rd

Charlotte, NC 28210-3879

Phone: (704) 366-2774

Approximate (ZIP-level) locationGet directions

More NC providers

Mailing address

6719 Fairview Rd

Charlotte, NC 28210-3879

Registry dates

Enumerated: 2019-03-06
Last updated: 2022-08-25
Certified: 2022-08-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Ashley Pater — NPI 1609334820, Charlotte, NC | NPI Central