Charles E, Dyer Iii Dds

LBN: Charles E, Dyer Iii Dds
Charles E, Dyer Iii Dds is an health care organization with primary practice located at 1120 Longfellow Dr , Beaumont TX 77706-4845. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Charles E, Dyer Iii Dds can be contacted via phone (409) 989-8923, or through Dyer, Charles E via phone (409) 898-8923.

Contact Information

Primary practice address
1120 Longfellow Dr Beaumont TX 77706-4845
Phone: (409) 989-8923
Fax: (409) 892-1960
Website:
Map and Directions
Authorized official contact:
Name: Dyer, Charles E DDS MSD
Phone: (409) 898-8923

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 10691 Texas

Profile Details

NPI number 1083988265
LBN Legal business name Charles E, Dyer Iii Dds
DBA Doing business as
Authorized official Dyer, Charles E DDS MSD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2012
Last updated Mar 6th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083988265 NPPES
Texas MEDICAID 090898001

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