Patterson, Charles Walter

Patterson, Charles Walter is an individual health care provider with primary practice located at 2876 N Pinal Ave Ste 4 , Casa Grande AZ 85122-7944. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Patterson, Charles Walter can be contacted via phone (520) 374-2225.

Contact Information

Primary practice address
2876 N Pinal Ave Ste 4 Casa Grande AZ 85122-7944
Phone: (520) 374-2225
Fax: (520) 374-2229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D010589 Arizona

Profile Details

NPI number 1508842410
LBN Legal business name Patterson, Charles Walter
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Sep 28th, 2020 - about 5 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 1508842410 NPPES
Arizona Other D010589 DENTAL LICENSE

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