Individual provider · Type 1 NPI

Jacob Alan Dautel, MD

Surgery Physician · Charlotte, NC

NPI number 1215513742 Active

Practice location

1000 Blythe Blvd Ste 601
Charlotte, NC 28203-5812

Call (704) 355-7874 Map

Fax (704) 355-5619

Mailing address

2630 E 7th St Ste 100
Charlotte, NC 28204-4319

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X2026-00863 (NC)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1215513742

Jacob Alan Dautel, MD's National Provider Identifier is 1215513742, issued on Mar 23, 2021. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 26, 2026.