Provider Demographics
NPI:1609072396
Name:WEBB, CHARLES MONROE (DDS DENTISTRY)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:MONROE
Last Name:WEBB
Suffix:
Gender:M
Credentials:DDS DENTISTRY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 E HARRIS
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76903
Mailing Address - Country:US
Mailing Address - Phone:325-653-6816
Mailing Address - Fax:325-653-6817
Practice Address - Street 1:324 E HARRIS
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76903
Practice Address - Country:US
Practice Address - Phone:325-653-6816
Practice Address - Fax:325-653-6817
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10753122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist