Charles Town, D.D.S
NPI 1770846222 · on the registry since 2012
Practice
- Address
- 824 Hewitt Dr Ste 300
Waco, TX 76712 - Phone
- (254) 420-4211
- Clinicians at this address
- 4
Additional practice sites
- 910 N Earl Rudder Fwy, Bryan, TX
Registry record
- Primary taxonomy
- Dentist
122300000X
- Also registered as
- General Practice Dentistry
- Licence states on file
- NM, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas