DR. CHARLES EDWARD DALEY III D.M.D.
NPI 1831286376
Dentist - Periodontics in Lebanon, TN

Active since October 06, 2006PECOS Enrolled
401 W MAIN ST, SUITE 104, LEBANON, TN 37087(615) 444-9611(615) 444-9835 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Charles Edward Daley Iii D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES EDWARD DALEY III D.M.D. (NPI 1831286376) is an individual periodontics provider in Lebanon, Tennessee, licensed in Tennessee (DS0000007841) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831286376
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. CHARLES EDWARD DALEY IIICredential: D.M.D.
Location Address401 W MAIN ST, SUITE 104Lebanon, TN 37087-3584
Mailing Address401 W Main St, Suite 104Lebanon, TN 37087-3584 · (615) 444-9611 · Fax (615) 444-9835
Fax(615) 444-9835
Sole ProprietorYes
Enumeration DateOctober 6, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1831286376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in TN · DS0000007841
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

401 W MAIN ST, Lebanon, TN 37087

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Charles Edward Daley Iii D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37087 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
401 W MAIN ST, SUITE 101
LEBANON, TN 37087
Clinic/Center (Dental)
401 W MAIN ST, SUITE 101
LEBANON, TN 37087

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831286376, enumerated as an "individual" on October 06, 2006.

The provider is located at 401 W MAIN ST SUITE 104 LEBANON, TN 37087 and the phone number is (615) 444-9611.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.