Dobeck, Charles Richard

Dobeck, Charles Richard is an sole proprietor health care provider with primary practice located at 1243 7Th St Suite A, Santa Monica CA 90401-1605. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dobeck, Charles Richard can be contacted via phone (310) 451-5348.

Contact Information

Primary practice address
1243 7Th St Suite A Santa Monica CA 90401-1605
Fax: (310) 656-2565
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 28146 California

Profile Details

NPI number 1033257159
LBN Legal business name Dobeck, Charles Richard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Jul 9th, 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 1033257159 NPPES
California MEDICAID B28146-01

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