Dr Charles Edward Pechous Iii, DDS - Dentist in Kenosha, WI

Dr Charles Edward Pechous Iii, DDS is a Dentist - Prosthodontics based in Kenosha, Wisconsin. Dr Charles Edward Pechous Iii is licensed to practice in Wisconsin (license number 4535 - 015) and his current practice location is 6124 Sheridan Rd, Kenosha, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (262) 654-2423.

NPI number for Dr Charles Edward Pechous Iii is 1518089523 and his current mailing address is 7202 3rd Ave, Kenosha, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518089523.

Contact Information

Dr Charles Edward Pechous Iii, DDS
6124 Sheridan Rd,
Kenosha, WI 53143-4527
(262) 654-2423
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Charles Edward Pechous Iii
GenderMale
SpecialityDentist - Prosthodontics
Location6124 Sheridan Rd, Kenosha, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518089523
  • Provider Enumeration Date: 04/03/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Charles Edward Pechous Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518089523NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0700XDentist - Prosthodontics 4535 - 015 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Charles Edward Pechous Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Charles Edward Pechous Iii, DDS
7202 3rd Ave,
Kenosha, WI 53143-5561

Ph: (262) 764-0261
Dr Charles Edward Pechous Iii, DDS
6124 Sheridan Rd,
Kenosha, WI 53143-4527

Ph: (262) 654-2423

Reviews and Comments


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