Charles W Janes DDS PC

Organization Active NPI General Practice Dentistry · Hannibal, MO

NPI 1760638365 · NPPES record last updated Aug 14, 2008

Key facts

NPI
1760638365
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
DE015296 (MO)
Legal business name
CHARLES W JANES DDS PC
Practice address
501 Clinic Rd
Hannibal, MO 63401-3605
Phone
(573) 221-3360
Fax
(573) 221-1472
NPI assigned
Aug 14, 2008
Organization subpart
No

Authorized official

Name
Dr. Charles W Janes, D.D.S.
Title
General Dentist
Phone
(573) 221-3360

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Charles W Janes DDS PC (2 organizations share this tax ID)

Locations

501 Clinic Rd
Hannibal, MO 63401
Phone (573) 221-3360

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X DE015296 MO Yes
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X DE015702 MO

Addresses

Primary practice location

501 Clinic Rd
Hannibal, MO 63401-3605

Mailing address

501 Clinic Rd
Hannibal, MO 63401-3605
Phone (573) 221-3360

Other providers in Hannibal, MO

All providers in Hannibal, MO · General Practice Dentistry in Missouri

Sources for this page

Verify at the official NPI Registry.