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

Raynald L. Desameau DMD PLLC III

Organization Pediatric Dentistry · NPI 1396567095

Raynald L. Desameau DMD PLLC III is a Pediatric Dentistry in Charlotte, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10460 Park Rd
Charlotte, NC 28210
Phone: (704) 540-5440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1396567095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raynald Desameau — Owner/Member · (912) 332-3932
Other names Coral Reef Pediatric Dentistry
NPI enumeratedOctober 25, 2024
Last updated in NPPESOctober 25, 2024
Certification dateOctober 22, 2024
Mailing address10460 Park Road, Charlotte, NC 28210

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