Desameau and Okons PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DESAMEAU AND OKONS PLLC

Doing business as

Radiant Smiles Family Dentistry
Radiant Smiles Family and Cosmetic Dentistry

Practice address

140 Mahaley Ave
Salisbury, NC 28144-2449

Phone

(704) 637-0150

NPI assigned

Apr 19, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Shannon Lugero

Title

Practice Manager

Phone

(704) 540-5440

Specialties & licenses 1

Addresses

Other names 2

• Radiant Smiles Family Dentistry Doing business as
• Radiant Smiles Family and Cosmetic Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raynald Leon Desameau, DMD

  • Dentist
  • Charlotte, NC
  • NPI 1710534904
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1396432480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 KETTERING DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263770",
            "telephone_number": "704-540-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MAHALEY AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442449",
            "telephone_number": "704-637-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESAMEAU AND OKONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "LUGERO",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "704-540-5440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Smiles Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Radiant Smiles Family and Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heavenlee Melody Deneen
• Katherine Van Wagenberg Denierio
• Leslie Dent, MA, LAT, ATC
• Melanie Jade Denton, O.D.
• Tapan Desai, D.O.
• Christopher Anthony Desanctis, DPT
• Dawn H. Detgen, MSW
• Susan Diamond
• Diana'S Homecare, Inc.
• Mariana Diaz- Jolon

• General Practice Dentistry in Salisbury, NC
• Providers in Salisbury, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.