Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Obi-Gwacham Roupas Sullivan Tremont Pllc-1

Organization General Practice Dentistry · NPI 1417770314

Obi-Gwacham Roupas Sullivan Tremont Pllc-1 provides General Practice Dentistry in Concord, North Carolina. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

560 Woodhaven Pl NW
Concord, NC 28027-5710
Phone: (704) 343-5574
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1417770314
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taylor Plyler — Manager · (843) 517-9960
NPI enumeratedNovember 7, 2024
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024
Mailing address5833 Phyliss Ln, Mint Hill, NC 28227-9031

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