Stone, Charles Glenn

Stone, Charles Glenn is an individual health care provider with primary practice located at 3100 New Copeland Rd , Tyler TX 75701-7940. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Stone, Charles Glenn can be contacted via phone (903) 597-2848.

Contact Information

Primary practice address
3100 New Copeland Rd Tyler TX 75701-7940
Phone: (903) 597-2848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 19877 Texas

Profile Details

NPI number 1841219342
LBN Legal business name Stone, Charles Glenn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 3rd, 2009 - about 15 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 1841219342 NPPES
Texas MEDICAID 203274001

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