Dyer, Charles Dodd
Dyer, Charles Dodd is an individual health care provider with primary practice located at 200 Key Drive , Madison MS 39110. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Dyer, Charles Dodd can be contacted via phone (601) 856-5227.Contact Information
Primary practice address
200 Key Drive
Madison MS 39110
Phone: (601) 856-5227
Fax: (601) 856-9055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 200983 | Mississippi |
Profile Details
| NPI number | 1538298492 |
|---|---|
| LBN Legal business name | Dyer, Charles Dodd |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538298492 | NPPES |
| Mississippi | MEDICAID | 00064031 |
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