Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Obi-Gwacham Roupas Sullivan Tremont Pllc-1

Organization General Practice Dentistry · NPI 1417770314

Obi-Gwacham Roupas Sullivan Tremont Pllc-1 is a General Practice Dentistry in Concord, North Carolina. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

560 Woodhaven Pl NW
Concord, NC 28027-5710
Phone: (704) 343-5574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1417770314
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taylor Plyler — Manager · (843) 517-9960
NPI enumeratedNovember 7, 2024
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024
Mailing address5833 Phyliss Ln, Mint Hill, NC 28227-9031

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