Individual
CHARLES E EARNHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
949 N 14TH ST, LEESBURG, FL 34748-3838
(352) 460-0164
(352) 460-0164
Mailing address
926 GREAT POND DR STE 2003, ALTAMONTE SPRINGS, FL 32714-7244
(407) 772-5124
(407) 788-3572
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN18116
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107915500
—
FL
Enumeration date
08/31/2007
Last updated
01/26/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us