Charles Milton Waller, D.D.S.

General Practice Dentistry · Camdenton, MO

Individual Active NPI

NPI number 1861528929

Practice location

272 Blue Haven Beach Rd
Camdenton, MO 65020-2123
Phone
(573) 873-5111
Fax
(573) 873-5111

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NPI record

NPI
1861528929
Entity type
Individual (Type 1)
Enumeration date
February 25, 2007
Last updated
December 31, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2002029904 MO

About Dr. Waller

Charles Milton Waller, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 272 Blue Haven Beach Rd, Camdenton, MO 65020-2123. The NPI number 1861528929 was assigned on February 25, 2007 and the record was last updated on December 31, 2007.

Dr. Waller lists a license in the registry: #2002029904 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles Milton Waller, D.D.S.?

The NPI number is 1861528929.

What is the phone number of Dr. Waller?

The phone number listed for the practice location is (573) 873-5111.

Where is Dr. Waller located?

272 Blue Haven Beach Rd, Camdenton, MO 65020-2123.

What is the taxonomy code for Dr. Waller?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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