Provider Demographics
NPI:1932548641
Name:BEST, CHARLOTTE MAUREEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHARLOTTE
Middle Name:MAUREEN
Last Name:BEST
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 1:626 CLINIC RD
Mailing Address - Street 2:
Mailing Address - City:HANNIBAL
Mailing Address - State:MO
Mailing Address - Zip Code:63401-3608
Mailing Address - Country:US
Mailing Address - Phone:573-221-5719
Mailing Address - Fax:
Practice Address - Street 1:626 CLINIC RD
Practice Address - Street 2:
Practice Address - City:HANNIBAL
Practice Address - State:MO
Practice Address - Zip Code:63401-3608
Practice Address - Country:US
Practice Address - Phone:573-221-5719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20130165921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice