Dr. Tanya Stephanie Rouleau, DMD
Dentist, General Practice in Charlotte, NC. Individual provider (NPI-1).
NPI number1982803367
StatusActive
Last updated in NPPESJul 16, 2007
Details
- NPI
- 1982803367
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tanya Stephanie Rouleau
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2007
- Last updated
- Jul 16, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 150624 | NC | Yes |
Practice location
1000 Blythe BlvdCharlotte, NC 28203-5812
Phone 704-355-4197 · Fax 704-355-5301
Mailing address
1000 Blythe BlvdCharlotte, NC 28203-5812
Phone 704-355-4197 · Fax 704-355-5301
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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