Dr. Charles Brian McDermott, D.D.S., M.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Columbus, IN. Individual provider (NPI-1).
NPI number1407972011
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1407972011
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Brian McDermott
- Credential
- D.D.S., M.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 22, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 12010324A | IN | Yes |
Practice location
3140 Middle RdColumbus, IN 47203-2298
Phone 812-379-1111 · Fax 812-379-1113
Mailing address
3140 Middle RdColumbus, IN 47203-2298
Phone 812-379-1111 · Fax 812-379-1113
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