Provider Demographics
NPI:1235273244
Name:RANKIN, CHARLES H III (DMD)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:H
Last Name:RANKIN
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 LOUDON RD STE 6
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5321
Mailing Address - Country:US
Mailing Address - Phone:603-224-5553
Mailing Address - Fax:603-224-6890
Practice Address - Street 1:6 LOUDON RD STE 6
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5321
Practice Address - Country:US
Practice Address - Phone:603-224-5553
Practice Address - Fax:603-224-6890
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH30151223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics