Whalio Doctors

NPI 1629074547

Charles M Repa, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) The Woodlands, TX

Practice location

Address
10333 Kuykendahl Suite a, The Woodlands, TX 77382
Phone
(281) 296-9562
Fax
(281) 296-9774
Mailing address
4185 Technology Forest Blvd Suite 120, The Woodlands, TX 77381-2006

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 12889 (TX)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 12889 (TX)

Registry record

NPI
1629074547
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Jun 2005
Record last updated
18 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.