Provider Demographics
NPI:1588832901
Name:JOSEPH S. LOPARO,II,DMD,PA
Entity type:Organization
Organization Name:JOSEPH S. LOPARO,II,DMD,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:S
Authorized Official - Last Name:LOPARO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:704-376-5950
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4661122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1578590477OtherINDIVIDUAL NPI#