Provider Demographics
NPI:1225137862
Name:MCCALL, CHARLES W (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:W
Last Name:MCCALL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 PACOLET ST
Mailing Address - Street 2:
Mailing Address - City:TRYON
Mailing Address - State:NC
Mailing Address - Zip Code:28782-3363
Mailing Address - Country:US
Mailing Address - Phone:828-859-5839
Mailing Address - Fax:828-859-5839
Practice Address - Street 1:60 PACOLET ST
Practice Address - Street 2:
Practice Address - City:TRYON
Practice Address - State:NC
Practice Address - Zip Code:28782-3363
Practice Address - Country:US
Practice Address - Phone:828-859-5839
Practice Address - Fax:828-859-5839
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC32051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice