Raynald L. Desameau DMD PLLC IV
NPI 1003638719ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Charlotte, NC
Dentist, Orthodontics and Dentofacial Orthopedics in Charlotte, North Carolina, registered in NPPES in October 2024. The authorized official on file is Raynald Leon Desameau, DMD, Owner/Member.
Overview
| NPI | 1003638719 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2024 |
| Last updated in NPPES | Oct 25, 2024 |
| Certified by provider | Oct 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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