Charles, Tracey Roseann

Charles, Tracey Roseann is an sole proprietor health care provider with primary practice located at 9345 Calypso Trail Nw , Bemidji MN 56601. She recently has only one registered license in Dental Providers / Dental Public Health, which is considered as her primary health care specialty. Charles, Tracey Roseann can be contacted via phone (218) 679-3912.

Contact Information

Primary practice address
9345 Calypso Trail Nw Bemidji MN 56601
Phone: (218) 679-3912
Fax: (218) 679-0181
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 8119 Tennessee

Profile Details

NPI number 1437238052
LBN Legal business name Charles, Tracey Roseann
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Jul 8th, 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.

Request for update

Popular Providers