Provider Demographics
NPI:1902398670
Name:CHARLES SCHEIN DDS, PLLC
Entity Type:Organization
Organization Name:CHARLES SCHEIN DDS, PLLC
Other - Org Name:DOCKSIDE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:252-638-3600
Mailing Address - Street 1:1702 US HIGHWAY 70 E STE E
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-6829
Mailing Address - Country:US
Mailing Address - Phone:252-638-3600
Mailing Address - Fax:252-638-9272
Practice Address - Street 1:1702 US HIGHWAY 70 E STE E
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-6829
Practice Address - Country:US
Practice Address - Phone:252-638-3600
Practice Address - Fax:252-638-9272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10069261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental