Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rafael Rivera, Jr, DDS, PLLC

Organization Dentist · NPI 1194994004

Rafael Rivera, Jr, DDS, PLLC provides Dentist services in Charlotte, North Carolina. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4901 N Tryon St
Charlotte, NC 28213-7033
Phone: (704) 921-0204
Fax: (704) 921-4095
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1194994004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maureen Shiroma — Director Of Office Managers · (336) 747-1523
Other names Smilestarters
NPI enumeratedFebruary 25, 2008
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024
Mailing addressPo Box 26394, Winston Salem, NC 27114-6394

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