Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES JACKSON VAN METER III, DMD, MD
Active Sole ProprietorDR. CHARLES JACKSON VAN METER III, DMD, MD is a Oral & Maxillofacial Surgery healthcare provider located in BRANDON, Mississippi. NPI 1689831125 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · BRANDON, MS
Registration Details
- NPI Number
- 1689831125
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2008 (18.203766748338 yrs)
- Last Updated
- Jul 18, 2013
- Licenses
-
5853 (LA)0S466-13 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 MAXEY DRBRANDON, MS, 390422576Browse MS providers · Browse ZIP 39042
- Phone
- 6016650411
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.