Provider Demographics
NPI:1821020462
Name:MAUNEY, CHARLES URAL JR (DDS, MPH)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:URAL
Last Name:MAUNEY
Suffix:JR
Gender:M
Credentials:DDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 VILCOM CENTER DR STE 310
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1789
Mailing Address - Country:US
Mailing Address - Phone:919-933-1007
Mailing Address - Fax:
Practice Address - Street 1:77 VILCOM CENTER DR STE 310
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-1789
Practice Address - Country:US
Practice Address - Phone:919-933-1007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC62421223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890181RMedicaid