NPI 1124291166

Roger G. Tans, D.D.S., P.A.

Organisation Exclusive Provider Organization Charlotte, NC

Practice location

Address: 3121 Springbank Ln STE D, Charlotte, NC 28226-3347
Phone: (704) 341-0016

Authorised official

Name: Roger G Tans
Title: Owner
Phone: (704) 341-0016

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 5189 (NC)

Other Exclusive Provider Organization providers in North Carolina →

Registry record

NPI: 1124291166
Entity type: Organization
NPI issued: 10 Apr 2008
Record last updated: 10 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.