NPI 1740701168 · live from the CMS NPI Registry
Jaytron Robert Charles, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Temple, PA. National Provider Identifier 1740701168, active.
NPI record
| NPI | 1740701168 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 5318 Allentown Pike, Temple, PA 19560 |
| Practice phone | 610-502-4553 |
| Mailing address | 329 E 132nd St Apt 3d, Bronx, NY 10454 |
| Enumerated | July 6, 2017 |
| Last updated | July 5, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DEN1001818 (DC) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DS043534 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.