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Dr. Marisa Ann Lopez, DMD
Pediatric Dentist in Charlotte, North Carolina
NPI 1972844264

Marisa Ann Lopez is a Pediatric Dentist based in Wayne, NC and is specialized in Pediatric Dentistry. Marisa Ann Lopez practices in Charlotte, NC and has the professional credentials of DMD. The NPI Number for Marisa Ann Lopez is 1972844264 and holds a License No. (North Carolina).

The current practice location address for Marisa Ann Lopez is 11835 Southmore Dr Ste 201, Charlotte, NC and can be reached out via phone at 973-941-2614. You can also correspond with Marisa Ann Lopez through the mailing address at 98 PANCAKE HOLLOW DR, WAYNE, NJ - 07470-3205 (mailing address contact number: ).

Location: 11835 Southmore Dr Ste 201, Charlotte, NC, 07470-3205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972844264
Provider Name
Marisa Ann Lopez
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
11835 Southmore Dr Ste 201, Charlotte, NC, 07470-3205
Phone Number
973-941-2614
Fax Number
Provider Enumeration Date
03/12/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11835 Southmore Dr Ste 201
City
Charlotte
State
North Carolina
Zip
28277-4820
Phone Number
973-941-2614
Fax Number
person
Provider Business Mailing Address Details
Address
11835 Southmore Dr Ste 201
City
Charlotte
State
North Carolina
Zip
28277-4820
Phone Number
973-941-2614
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
12699 (North Carolina)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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