Individual provider · Type 1 NPI

Marisa Ann Lopez, DMD

Pediatric Dentistry · Charlotte, NC

NPI number 1972844264 Active

Practice location

11835 Southmore Dr Ste 201
Charlotte, NC 28277-4820

Call (973) 941-2614 Map

Mailing address

98 Pancake Hollow Dr
Wayne, NJ 07470-3205

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221X12699 (NC)
Pediatric Dentistry 1223P0221X0581951 (NY)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1972844264

Marisa Ann Lopez, DMD's National Provider Identifier is 1972844264, issued on Mar 12, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Charlotte, NC. The record was last updated on Feb 28, 2023.