Charles K. Wear in Santa Rosa - Orthodontics And Dentofacial Orthopedics

Charles K. Wear - NPI 1952428112

Charles K. Wear is a Orthodontics And Dentofacial Orthopedics in Santa Rosa, California. Charles K. Wear practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Charles K. Wear is 1952428112. The last update date is 2012-10-03.

Charles K. Wear's current location address is 1880 Sonoma Ave, Santa Rosa, California. You can contact this provider via phone number 7075468600 and fax number 7075460166. The mailing address for Charles K. Wear is 1880 Sonoma Ave, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles K. Wear
Address 1880 Sonoma Ave, Santa Rosa, California
Phone Number 7075468600
Fax Number 7075460166
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1952428112
Provider Enumeration Date 2007-03-23
Last Updated Date 2012-10-03

Provider Mailing Address Detail

Address 1880 Sonoma Ave
City Santa Rosa
State California (CA)
Post Code 954054953
Phone Number 7075468600
Fax Number 7075460166

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 20962
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Charles K. Wear

What is the unique 10-digit identifier code assigned to Charles K. Wear by the Centers for Medicare & Medicaid Services?

The Charles K. Wear has been issued the NPI (National Provider Identifier) 1952428112 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Charles K. Wear's physical address?

The Charles K. Wear is physically located at 1880 Sonoma Ave, in the city of Santa Rosa, CA, with the postal code 954054953.

What is Charles K. Wear's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Charles K. Wear is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.

On what date did the Charles K. Wear receive its 1952428112 assignment from the Centers for Medicare & Medicaid Services?

The Charles K. Wear was assigned its 1952428112 by the Centers for Medicare & Medicaid Services on 2007-03-23.

When was the information regarding Charles K. Wear, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Charles K. Wear, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-10-03.

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