CHARLES R PAYERLE, DDS, MD, PLLC - NPI 1871819292

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

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About Charles R Payerle, Dds, Md, Pllc NPPES

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

CHARLES R PAYERLE, DDS, MD, PLLC (NPI 1871819292) is a healthcare organization registered as an oral and maxillofacial surgery in Burleson, Texas and active in the NPI registry since April 2010. The organization lists Charles R Payerle, Owner, as its authorized official.

NPPES Registry Identity

NPI1871819292

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameCHARLES R PAYERLE, DDS, MD, PLLC

Location Address12001 SOUTH FWY, SUITE 207Burleson, TX 76028-7208

Mailing Address12001 South Fwy, Suite 207Burleson, TX 76028-7208 · (817) 568-6811 · Fax (817) 568-6813

Phone(817) 568-6811

Fax(817) 568-6813

Organization SubpartNo

Authorized OfficialCharles R PayerleOwner · (817) 568-6811

Enumeration DateApril 9, 2010

✔ NPI 1871819292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in TX · 0023735

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

12001 SOUTH FWY, Burleson, TX 76028

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Other Identifiers 1

Other1780894170Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP