| Charles E, Dyer Iii Dds | |
|
1120 Longfellow Dr Beaumont TX 77706-4845 | |
| (409) 989-8923 | |
| (409) 892-1960 |
| Full Name | Charles E, Dyer Iii Dds |
|---|---|
| Speciality | Dentist |
| Location | 1120 Longfellow Dr, Beaumont, Texas |
| Authorized Official Name and Position | Charles E Dyer (PRESIDENT) |
| Authorized Official Contact | 4098988923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles E, Dyer Iii Dds 1120 Longfellow Dr Beaumont TX 77706-4845 Ph: (409) 989-8923 | Charles E, Dyer Iii Dds 1120 Longfellow Dr Beaumont TX 77706-4845 Ph: (409) 989-8923 |
| NPI Number | 1083988265 |
|---|---|
| Provider Enumeration Date | 03/06/2012 |
| Last Update Date | 03/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083988265 | NPI | - | NPPES |
| 090898001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10691 (Texas) | Primary |
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