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

S. Shembo Etienne, D.d.d., PA

Organization Dentist · NPI 1326435678

S. Shembo Etienne, D.d.d., PA provides Dentist services in Charlotte, North Carolina. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10400 Mallard Creek Rd Ste 103
Charlotte, NC 28262-9772 Not confirmed with CMS for 11 years — call before visiting
Phone: (704) 996-8608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1326435678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shango Etienne — Owner · (704) 996-8608
NPI enumeratedApril 23, 2015
Last updated in NPPESApril 23, 2015
Mailing address10400 Mallard Creek Rd, Suite 103, Charlotte, NC 28262-9772

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