Organization
CHARLES A DEIGERT DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES AARON DEIGERT DDS (OWNER)
(910) 346-6696
Entity
Organization
Contact information
Practice address
2881 RICHLANDS HWY # HYW, JACKSONVILLE, NC 28540-3672
(910) 346-6696
Mailing address
2881 RICHLANDS HWY # HYW, JACKSONVILLE, NC 28540-3672
(252) 346-6696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NC7574
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902PY
—
NC
Enumeration date
02/07/2008
Last updated
02/07/2008
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