Individual
DR. CHARLES KEITH NOVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5656 BEE CAVE RD, SUITE J-203, WEST LAKE HILLS, TX 78746-5280
(512) 327-5977
(512) 327-5979
Mailing address
5656 BEE CAVE RD, SUITE J-203, WEST LAKE HILLS, TX 78746-5280
(512) 327-5977
(512) 327-5979
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16082
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
743011269
TAX IDENTIFCATION NUMBER
TX
Enumeration date
01/23/2007
Last updated
02/15/2012
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