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DOCTORS CHARLES GRADY HORNSBY JR ROBERT LEO REGAN AND MICHAEL CHARLE NPI 1649450594


NPI Information

NPI: 1649450594
Provider Name: DOCTORS CHARLES GRADY HORNSBY JR, ROBERT LEO REGAN, AND MICHAEL CHARLE

Doing Business As: BATON ROUGE ORAL AND FACIAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
5227 FLANDERS DR
BATON ROUGE, LA
ZIP 70808
Phone: (225) 769-3600
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DOCTORS CHARLES GRADY HORNSBY JR, ROBERT LEO REGAN, AND MICHAEL CHARLE is an oral and maxillofacial surgery dentist in Baton Rouge, LA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DOCTORS CHARLES GRADY HORNSBY JR, ROBERT LEO REGAN, AND MICHAEL CHARLE NPI is 1649450594. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Baton Rouge Oral And Facial Surgery.

The provider's business location address is:

5227 FLANDERS DR
BATON ROUGE, LA
ZIP 70808-169
Phone: (225) 769-3600
Fax: (225) 767-3275

The provider's authorized official is Teresa Anne Stamper .
The authorized official title is Insurance Manager and has the following contact phone number (225) 769-3600.

The enumeration date for this NPI number is 11/8/2007 and was last updated on 11/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery2719LOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
157680MEDICARE UPINLOUISIANA

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: 4/28/2024

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