Provider Demographics
NPI:1578590477
Name:LOPARO, JOSEPH SEBASTIAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:SEBASTIAN
Last Name:LOPARO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S TRYON
Mailing Address - Street 2:SUITE M-4
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28285-1901
Mailing Address - Country:US
Mailing Address - Phone:704-376-5950
Mailing Address - Fax:704-376-7672
Practice Address - Street 1:400 S TRYON
Practice Address - Street 2:SUITE M-4
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28285-1901
Practice Address - Country:US
Practice Address - Phone:704-376-5950
Practice Address - Fax:704-376-7672
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4661122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist