Individual
CHARLES ROBERT MEANS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
410 SPRING FOREST DRIVE, GREENVILLE, NC 27834-7244
(252) 758-3006
(252) 758-5500
Mailing address
410 SPRING FOREST DRIVE, GREENVILLE, NC 27834-7244
(252) 758-3006
(252) 758-5500
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4669
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4669562195001
DELTA DENTAL
—
01
—
485
UNITED CONCORDIA
—
05
—
8995864
—
NC
01
—
95864
BLUE CROSS BLUE SHIELD
NC
Enumeration date
12/20/2006
Last updated
07/08/2007
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