NPI 1922189109

Brian William Charles, DMD

Practitioner General Practice Dentistry McCall, ID

Practice location

Address: 1003 N 3rd St, McCall, ID 83638-3822
Phone: (208) 634-7653
Fax: (208) 634-4568

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D-1796 (ID)

Other Dentist providers in Idaho →

Registry record

NPI: 1922189109
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Oct 2006
Record last updated: 8 Jul 2007

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.