Provider Demographics
NPI:1588851752
Name:CHAR, BERNARD SIU LAI (DDS)
Entity Type:Individual
Prefix:DR
First Name:BERNARD SIU LAI
Middle Name:
Last Name:CHAR
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 1:7270 E HIGHWAY 191 STE 206
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79765-8657
Mailing Address - Country:US
Mailing Address - Phone:432-614-4144
Mailing Address - Fax:432-614-4164
Practice Address - Street 1:7270 E HIGHWAY 191 STE 206
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79765-8657
Practice Address - Country:US
Practice Address - Phone:432-614-4144
Practice Address - Fax:432-614-4164
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX554791223G0001X
TX231881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice