Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TASHANA DETWILER, DMD
Active Sole ProprietorDental Public Health · CONCORD, NC
Registration Details
- NPI Number
- 1205500147
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 4, 2021 (4.7142400636861 yrs)
- Last Updated
- Aug 4, 2021
- License
-
12420 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
280 CONCORD PKWY S STE 110ACONCORD, NC, 280272704Browse NC providers · Browse ZIP 28027
- Phone
- 7049201070
- Fax
- 7049201071
- Primary Specialty
-
Dental Public Health
1223D0001X
Other Dental Public Health Providers in CONCORD, NC
| Name | Credential | NPI |
|---|---|---|
| TRAVIS ANDRE RUSSELL | DDS | 1861976839 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.