Provider Demographics
NPI:1255765574
Name:VIOLETTE, DAVID P (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:P
Last Name:VIOLETTE
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 1:301 S WILLIS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SHALLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28470-3445
Mailing Address - Country:US
Mailing Address - Phone:910-754-7700
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:301 S WILLIS DR STE 100
Practice Address - Street 2:
Practice Address - City:SHALLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28470-3445
Practice Address - Country:US
Practice Address - Phone:910-754-7700
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-22
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA174731223G0001X
NC124181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice