| NPI | 1174466874 |
|---|---|
| Doing Business As | TRIAD PERIO |
| Entity Type | Organization |
| Authorized Contact | JESSICA HUNTER Director Of Network Relations 704-780-4597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2026-04-09 |
| Last Update Date | 2026-04-09 |