DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHANGO SHEMBO ETIENNE, D.D.S

Active Sole Proprietor

DR. SHANGO SHEMBO ETIENNE, D.D.S is a General Dentistry healthcare provider located in CHARLOTTE, North Carolina. NPI 1770994345 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · CHARLOTTE, NC

Registration Details

NPI Number
1770994345
Provider Type
Individual
Gender
Male
NPI Issued
May 16, 2014 (12.251708289502 yrs)
Last Updated
Dec 4, 2017
License
9716 (NC)
Sole Proprietor
Yes

Practice Information

Address
10400 MALLARD CREEK RD STE 103
CHARLOTTE, NC, 282625206
Browse NC providers · Browse ZIP 28262
Phone
7045030202
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in CHARLOTTE, NC

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.