DR. CHARLES LEE HATLEY DMD NPI 1104927060

NPI Information

  • NPI: 1104927060
  • Provider Name: DR. CHARLES LEE HATLEY, DMD
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Individual
  • Address: 38TH STREET/BLDG 38717
    USA DENTAC
    FT GORDON, GA
    ZIP 30905
  • Phone: (706) 787-6927

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NPI Details

DR. Charles Lee Hatley, DMD is a prosthodontics dentist in Ft Gordon, GA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Charles Lee Hatley, DMD NPI is 1104927060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

38TH STREET/BLDG 38717
USA DENTAC
FT GORDON, GA
ZIP 30905-660
Phone: (706) 787-6927
Fax: (706) 787-2082

The enumeration date for this NPI number is 9/25/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist6091KENTUCKYNo
2122300000XDentist7047TENNESSEENo
31223P0700XDentistProsthodontics6091KENTUCKYNo
41223P0700XDentistProsthodontics7047TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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