Provider Demographics
NPI:1609136043
Name:CHARLES, SEMANTHA NATASHA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SEMANTHA
Middle Name:NATASHA
Last Name:CHARLES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 CITYPLACE WEST BLVD
Mailing Address - Street 2:APT #303
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-0358
Mailing Address - Country:US
Mailing Address - Phone:347-446-6076
Mailing Address - Fax:
Practice Address - Street 1:4343 W CAMP WISDOM RD
Practice Address - Street 2:SUITE 102
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-2467
Practice Address - Country:US
Practice Address - Phone:972-572-3552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX327421223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA