Organization
CHARLES E, DYER III DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E DYER III DDS MSD (PRESIDENT)
(409) 898-8923
Entity
Organization
Contact information
Practice address
1120 LONGFELLOW DR, BEAUMONT, TX 77706-4845
(409) 989-8923
(409) 892-1960
Mailing address
1120 LONGFELLOW DR, BEAUMONT, TX 77706-4845
(409) 989-8923
(409) 892-1960
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10691
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090898001
—
TX
Enumeration date
03/06/2012
Last updated
03/06/2012
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