Individual
DR. CHARLES DAVID STODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
313 E 22ND AVE, GULF SHORES, AL 36542-3193
(251) 948-9313
(251) 948-8383
Mailing address
313 E 22ND AVE, GULF SHORES, AL 36542-3193
(251) 948-9313
(251) 948-8383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3129
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009924875
—
AL
01
—
51515558
BC/BS OF ALABAMA
AL
Enumeration date
10/03/2006
Last updated
07/08/2007
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