# CHARLES G. STONE, JR. DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386874063
- **Authorized official:** CHARLES G STONE JR. DDS (PRESIDENT)
- **Authorized official phone:** (903) 597-2848

## Contact information

- **Practice address:** 3100 NEW COPELAND RD., TYLER, TX 75701
- **Practice address phone:** (903) 597-2848
- **Mailing address:** 3100 NEW COPELAND RD, TYLER, TX 75701
- **Mailing address phone:** (903) 597-2848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 07/16/2009
- **Last updated:** 07/16/2009