# DOCTORS CHARLES GRADY HORNSBY JR, ROBERT LEO REGAN, AND MICHAEL CHARLE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baton Rouge Oral and Facial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649450594
- **Authorized official:** MRS. TERESA ANNE STAMPER (INSURANCE MANAGER)
- **Authorized official phone:** (225) 769-3600

## Contact information

- **Practice address:** 5227 FLANDERS DR, BATON ROUGE, LA 70808-9169
- **Practice address phone:** (225) 769-3600
- **Practice address fax:** (225) 767-3275
- **Mailing address:** 5227 FLANDERS DR, BATON ROUGE, LA 70808-9169
- **Mailing address phone:** (225) 769-3600
- **Mailing address fax:** (225) 767-3275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2719 | LA | Yes |

## Other

- **Enumeration date:** 11/08/2007
- **Last updated:** 11/08/2007