Individual
DR. CHARLES JOSEPH SCHILDROTH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5120 BAYOU BLVD, STE.4, PENSACOLA, FL 32503-2193
(850) 477-3188
(850) 477-6776
Mailing address
5120 BAYOU BLVD, STE.4, PENSACOLA, FL 32503-2193
(850) 477-3188
(850) 477-6776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25852
UNITED HEALTHCARE
FL
01
—
724127
UNITED CONCORDIA
FL
01
—
AETNA
109808
FL
01
—
COMPBENEFITS
995573
FL
01
—
SAFEGUARD
9830
FL
Enumeration date
01/22/2007
Last updated
06/01/2016
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