Individual
CHARLES WILLIAM BAILEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
119 CHURCH ST, HUNTINGDON, TN 38344-0672
(731) 986-4737
(731) 986-4737
Mailing address
PO BOX 672, HUNTINGDON, TN 38344-0672
(731) 986-4737
(731) 986-4737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
151472
MS
1223G0001X
General Practice Dentistry
Primary
DS0000002403
TN
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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