| Charles M Sauter, Dds | |
|
18640 Lbj Fwy Suite 202 Mesquite TX 75150-6034 | |
| (972) 288-4401 | |
| Not Available |
| Full Name | Charles M Sauter, Dds |
|---|---|
| Speciality | Dentist |
| Location | 18640 Lbj Fwy, Mesquite, Texas |
| Authorized Official Name and Position | Charles M Sauter (OWNER) |
| Authorized Official Contact | 9722884877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles M Sauter, Dds 18640 Lbj Fwy Suite 202 Mesquite TX 75150-6034 Ph: (972) 288-4401 | Charles M Sauter, Dds 18640 Lbj Fwy Suite 202 Mesquite TX 75150-6034 Ph: (972) 288-4401 |
| NPI Number | 1932327368 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 09/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932327368 | NPI | - | NPPES |
| 110952201 | Medicaid | TX | |
| 009782601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15824 (Texas) | Primary |
| 122300000X | Dentist | 16437 (Texas) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | 10997 (Texas) | Secondary |
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