Daughtry, Charles Steven

Daughtry, Charles Steven is an sole proprietor health care provider with primary practice located at 4515 Southlake Pkwy Ste 101, Birmingham AL 35244-3317. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Daughtry, Charles Steven can be contacted via phone (205) 988-5656.

Contact Information

Primary practice address
4515 Southlake Pkwy Ste 101 Birmingham AL 35244-3317
Phone: (205) 988-5656
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X LN03407 Alabama

Profile Details

NPI number 1134137755
LBN Legal business name Daughtry, Charles Steven
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134137755 NPPES
Alabama Other 045814 UNITED CONCORDIA
Alabama Other 91579 UNITED CONCORDIA

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