National Provider Identifier Database

CHARLES R PAYERLE DDS MD PLLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes 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.


Contact Information

CHARLES R PAYERLE DDS, MD PLLC
12001 SOUTH FWY STE 207
BURLESON, TX76028-7214
Phone: 817-568-6811
Fax: 817-568-6813
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for CHARLES R PAYERLE DDS, MD PLLC

NPI Number 1558791566
Legal business name
LBN
CHARLES R PAYERLE DDS, MD PLLC
Authorized official CHARLES PAYERLE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/13/2013
Last updated 11/13/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 23735

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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