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

Raynald Leon Desameau, DMD

Individual provider Dentist · NPI 1710534904

Raynald Leon Desameau, DMD is a Dentist in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

10460 Park Rd
Charlotte, NC 28210-8536
Phone: (704) 540-5440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 11583 (NC)

Record details

NPI number1710534904
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 22, 2019
Last updated in NPPESOctober 28, 2024
Certification dateOctober 22, 2024

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