DR. CHARLES BONNER OATES D.D.S. NPI 1124152517

NPI Information

NPI: 1124152517
Provider Name: DR. CHARLES BONNER OATES, D.D.S.
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Individual
Address: 210 NEEL AVE
SOCORRO, NM
ZIP 87801
Phone: (505) 835-1623

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NPI Details

DR. Charles Bonner Oates, D.D.S. is a general practice dentist in Socorro, NM. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Charles Bonner Oates, D.D.S. NPI is 1124152517. 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:

210 NEEL AVE
SOCORRO, NM
ZIP 87801-649
Phone: (505) 835-1623
Fax: (505) 835-3033

The enumeration date for this NPI number is 3/15/2007 and was last updated on 7/9/2007.

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
1	1223G0001X	Dentist	General Practice	DD1385	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00084517	MEDICAID	NEW MEXICO
2	6465	MEDICAID	NEW MEXICO

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: 3/30/2025

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