# CHARLES A DEIGERT DDS

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

## Provider details

- **NPI number:** 1841478245
- **Authorized official:** DR. CHARLES AARON DEIGERT DDS (OWNER)
- **Authorized official phone:** (910) 346-6696

## Contact information

- **Practice address:** 2881 RICHLANDS HWY \# HYW, JACKSONVILLE, NC 28540-3672
- **Practice address phone:** (910) 346-6696
- **Mailing address:** 2881 RICHLANDS HWY \# HYW, JACKSONVILLE, NC 28540-3672
- **Mailing address phone:** (252) 346-6696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | NC7574 | NC | Yes |

## Other

- **Enumeration date:** 02/07/2008
- **Last updated:** 02/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 89902PY | — | NC |