Sackett, Charles Edwin

Sackett, Charles Edwin is an individual health care provider with primary practice located at 633 E Alvin Drive Ste B , Salinas CA 93906. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Sackett, Charles Edwin can be contacted via phone (831) 443-1177.

Contact Information

Primary practice address
633 E Alvin Drive Ste B Salinas CA 93906
Phone: (831) 443-1177
Fax: (831) 443-0705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 51646 California

Profile Details

NPI number 1487740973
LBN Legal business name Sackett, Charles Edwin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 18 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 1487740973 NPPES
California MEDICAID D51646

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