Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MR. CHARLES R STUCKEN SR.
Active
Individual
MR. CHARLES R STUCKEN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
28992
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B2899201
MEDI CAL
CA
Enumeration date
01/06/2006
Last updated
07/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers