Charbeneau, Thomas D

Charbeneau, Thomas D is an individual health care provider with primary practice located at 3420 Clarksville St , Paris TX 75460-8014. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Charbeneau, Thomas D can be contacted via phone (903) 785-4832.

Contact Information

Primary practice address
3420 Clarksville St Paris TX 75460-8014
Fax: (903) 785-3807
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 11554 Texas

Profile Details

NPI number 1588855456
LBN Legal business name Charbeneau, Thomas D
Credentials DDS, MSD, PA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Aug 6th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588855456 NPPES
Texas Other 1568474989 CORPORATION

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