# DENTAL CACTUS PLLC

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

## Provider details

- **NPI number:** 1902131030
- **Authorized official:** CHARLIE F CARMICHAEL III DDS, MS (OWNER)
- **Authorized official phone:** (214) 705-7272

## Contact information

- **Practice address:** 2405 FM 423, SUITE 100, LITTLE ELM, TX 75068-6665
- **Practice address phone:** (214) 705-7272
- **Mailing address:** 1016 LIBERTY ST, SUITE 6, DALLAS, TX 75204-5521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22973 | TX | Yes |

## Other

- **Enumeration date:** 10/07/2009
- **Last updated:** 10/07/2009
