Individual provider · Type 1 NPI

Charles Randall Macon, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Raleigh, NC

NPI number 1285657510 Active

Practice location

7200 Stonehenge Dr, Suite 102
Raleigh, NC 27613-1620

Call (919) 848-1882 Map

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X6058 (NC)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1285657510

Charles Randall Macon, DDS's National Provider Identifier is 1285657510, issued on Jul 26, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Raleigh, NC. The record was last updated on Jul 8, 2007.