# DR. CHARLES JACKSON VAN METER III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1689831125
- **Gender:** Man
- **Credential:** DMD, MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 0S466-13 | MS | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 5853 | LA | — |

## Other

- **Enumeration date:** 05/21/2008
- **Last updated:** 07/18/2013