Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES WILLIAM DORMAN JR., DDS MS
Active Sole ProprietorCHARLES WILLIAM DORMAN JR., DDS MS is a Pediatric Dentistry healthcare provider located in STOCKTON, California. NPI 1922173632 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · STOCKTON, CA
Registration Details
- NPI Number
- 1922173632
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2006 (19.75912672793 yrs)
- Last Updated
- Jul 8, 2007
- License
-
22339 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4637 QUAIL LAKES DRSTOCKTON, CA, 952075258Browse CA providers · Browse ZIP 95207
- Phone
- 2092357207
- Fax
- 2092357210
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
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.