# CHARLES A. BLUMLE D.D.S., P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1518167584
- **Authorized official:** DR. CHARLES A. BLUMLE D.D.S. (PRESIDENT)
- **Authorized official phone:** (814) 486-0650

## Contact information

- **Practice address:** 404 N MAPLE ST, EMPORIUM, PA 15834-1225
- **Practice address phone:** (814) 486-0650
- **Mailing address:** 404 N MAPLE ST, EMPORIUM, PA 15834-1225
- **Mailing address phone:** (814) 486-0650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS-019669-L | PA | Yes |

## Other

- **Enumeration date:** 07/18/2007
- **Last updated:** 07/18/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005281700001 | ACCESS | PA |
| 01 | — | 73459 | UNITED CONCORDIA | — |