Dr. Charles Joseph Bohle Jr., D.M.D.
Dentist in Paducah, KY. Individual provider (NPI-1).
NPI number1922010974
StatusActive
Last updated in NPPESFeb 24, 2014
Details
- NPI
- 1922010974
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Joseph Bohle Jr.
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 11, 2006
- Last updated
- Feb 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 5637 | KY | Yes |
Practice location
1836 Broadway StPaducah, KY 42001-2708
Phone 270-442-0256 · Fax 270-442-8730
Mailing address
1836 Broadway StPaducah, KY 42001-2708
Phone 270-442-0256 · Fax 270-442-8730
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