Individual
DR. CHARLES FRANK MASSLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
DEPARTMENT OF DENTISTRY, WFUSM, MEDICAL CENTER BOULEVARD, WINSTON-SALEM, NC 27157-1093
(336) 716-2164
(336) 716-9045
Mailing address
DEPARTMENT OF DENTISTRY, WFUSM, MEDICAL CENTER BOULEVARD, WINSTON-SALEM, NC 27157-1093
(336) 716-2164
(336) 716-9045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
012950
MO
1223G0001X
General Practice Dentistry
0401008230
VA
1223G0001X
General Practice Dentistry
Primary
6941
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
799004E
—
NC
01
—
9004E
BLUE CROSS / BLUE SHIELD
NC
Enumeration date
06/16/2005
Last updated
07/08/2007
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