Individual
DR. CHARLES MICHAEL FLINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
430 N HIGH ST, HENDERSON, TX 75652-5910
(918) 760-5074
(903) 657-1551
Mailing address
430 N HIGH ST, HENDERSON, TX 75652-5910
(918) 760-5074
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6103
OK
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
34701
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200455850A
—
OK
Enumeration date
09/02/2009
Last updated
11/24/2020
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