Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
VINTAGE DENTAL SPA PLLC
Active
Organization
VINTAGE DENTAL SPA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLIE F. CARMICHAEL III DDS (OWNER)
(214) 705-7272
Entity
Organization
Contact information
Practice address
4245 N CENTRAL EXPY, SUITE 240, DALLAS, TX 75205-4581
(214) 520-0887
Mailing address
4245 N CENTRAL EXPY, SUITE 240, DALLAS, TX 75205-4581
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22973
TX
Other
Enumeration date
12/17/2010
Last updated
03/10/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up