Dr Charles Samuel Dillon Iii, DDS is a
Dentist - General Practice based in Groesbeck, Texas. Dr Charles Samuel Dillon Iii is licensed to practice in Texas (license number 12958) and his current practice location is
513 E Yeagua, Groesbeck, Texas. He can be reached at his office (for appointments etc.) via phone at
(254) 729-3818.
NPI number for Dr Charles Samuel Dillon Iii is 1831250752 and his current mailing address is Po Box 516, 513 E Yeagua, Groesbeck, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831250752.
Healthcare Provider's Profile
| Full Name | Dr Charles Samuel Dillon Iii |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 513 E Yeagua, Groesbeck, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831250752
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Charles Samuel Dillon Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831250752 | NPI | - | NPPES |
| 091071301 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 12958 (Texas) | 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 Samuel Dillon 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 Address | Practice Location Address |
|---|
Dr Charles Samuel Dillon Iii, DDS
Po Box 516, 513 E Yeagua,
Groesbeck, TX 76642
Ph: (254) 729-3818 | Dr Charles Samuel Dillon Iii, DDS
513 E Yeagua,
Groesbeck, TX 76642
Ph: (254) 729-3818 |
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