Organization
CHARLES M SAUTER, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES M SAUTER DDS (OWNER)
(972) 288-4877
Entity
Organization
Contact information
Practice address
18640 LBJ FWY, SUITE 202, MESQUITE, TX 75150-6034
(972) 288-4401
Mailing address
18640 LBJ FWY, SUITE 202, MESQUITE, TX 75150-6034
(972) 288-4401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15824
TX
122300000X
Dentist
16437
TX
1223P0700X
Prosthodontics
10997
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009782601
—
TX
05
—
110952201
—
TX
Enumeration date
04/23/2007
Last updated
09/09/2008
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