| Thomas D. Charbeneau, Dds, Msd, Pa | |
|
3420 Clarksville St Paris TX 75460-8014 | |
| (903) 785-4832 | |
| (903) 785-3807 |
| Full Name | Thomas D. Charbeneau, Dds, Msd, Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3420 Clarksville St, Paris, Texas |
| Authorized Official Name and Position | Thomas D. Charbeneau (OWNER) |
| Authorized Official Contact | 9037854832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas D. Charbeneau, Dds, Msd, Pa 3420 Clarksville St Paris TX 75460-8014 Ph: (903) 785-4832 | Thomas D. Charbeneau, Dds, Msd, Pa 3420 Clarksville St Paris TX 75460-8014 Ph: (903) 785-4832 |
| NPI Number | 1568474989 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568474989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 11554 (Texas) | Primary |
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