Individual
CHARLES DOUGLAS JARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
NH PENSACOLA 6000 W HWY 98, PENSACOLA, FL 32512-0001
(850) 505-6454
Mailing address
NH PENSACOLA 6000 W HWY 98, PENSACOLA, FL 32512-0001
(850) 505-6454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6803
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558473736
DEPARTMENT OF DEFENSE
—
Enumeration date
08/31/2006
Last updated
11/13/2018
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