Charles Edward Dyer Iii in Beaumont - Pediatric Dentistry

Charles Edward Dyer Iii - NPI 1194813634

Charles Edward Dyer Iii is a Pediatric Dentistry in Beaumont, Texas. Charles Edward Dyer Iii practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Charles Edward Dyer Iii is 1194813634. The last update date is 2007-07-08.

Charles Edward Dyer Iii's current location address is 1120 Longfellow Dr, Beaumont, Texas. You can contact this provider via phone number 4098988923 and fax number 4098921960. The mailing address for Charles Edward Dyer Iii is 1120 Longfellow Dr, Beaumont, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Edward Dyer Iii
Address 1120 Longfellow Dr, Beaumont, Texas
Phone Number 4098988923
Fax Number 4098921960
Sole Proprietor Y
Credentials D.D.S., M.

NPI Number Detail

NPI Number 1194813634
Provider Enumeration Date 2006-10-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1120 Longfellow Dr
City Beaumont
State Texas (TX)
Post Code 77706
Phone Number 4098988923
Fax Number 4098921960

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 10691
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Charles Edward Dyer Iii

What is the Charles Edward Dyer Iii's 1194813634?

The Charles Edward Dyer Iii's NPI (National Provider Identifier) Number is 1194813634. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Charles Edward Dyer Iii is geographically located?

The Charles Edward Dyer Iii is physically situated at the following location: 1120 Longfellow Dr, Beaumont, TX, 77706.

What is Charles Edward Dyer Iii's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Charles Edward Dyer Iii is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services assign the 1194813634 to Charles Edward Dyer Iii?

The Centers for Medicare & Medicaid Services assigned the 1194813634 to Charles Edward Dyer Iii on 2006-10-10.

As of what date were the Charles Edward Dyer Iii's details last updated?

The information pertaining to the Charles Edward Dyer Iii, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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