| Charles V Oliver Orthodontist Pc | |
|
107 S Edwards St Enterprise AL 36330 | |
| (334) 347-0096 | |
| (334) 347-0085 |
| Full Name | Charles V Oliver Orthodontist Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 107 S Edwards St, Enterprise, Alabama |
| Authorized Official Name and Position | Charles Victor Oliver (PRESIDENT OWNER) |
| Authorized Official Contact | 3343470096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles V Oliver Orthodontist Pc 107 S Edwards St Enterprise AL 36330 Ph: (334) 347-0096 | Charles V Oliver Orthodontist Pc 107 S Edwards St Enterprise AL 36330 Ph: (334) 347-0096 |
| NPI Number | 1912066192 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912066192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3116 (Alabama) | Primary |
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