Provider Demographics
NPI:1972533578
Name:VALERIANO, GREGORY FRANCIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:FRANCIS
Last Name:VALERIANO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7812 FAIRVIEW ROAD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226
Mailing Address - Country:US
Mailing Address - Phone:704-364-6544
Mailing Address - Fax:704-364-8250
Practice Address - Street 1:7812 FAIRVIEW ROAD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-4945
Practice Address - Country:US
Practice Address - Phone:704-364-6544
Practice Address - Fax:704-364-8250
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC55361223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics