Charles J Laun, D.D.S
Individual provider Active NPI Dentist · Westchase, FL
NPI 1790743730 · NPPES record last updated Dec 3, 2024
Key facts
- NPI
- 1790743730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN 17689 (FL)
- Practice address
- 10641 Sheldon Rd
Westchase, FL 33626-5114 - Phone
- (813) 951-1970
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17689 | FL | MD | Dentist |
| DN 17689 | FL | MD | Dentist |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Florida P.a. | Dentist | Past |
Accepting new patients |
| Coast Florida P.a. | Dentist | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN 17689 | FL | Yes |
| Dentist | 122300000X | 17689 | FL |
Addresses
Primary practice location
10641 Sheldon Rd
Westchase, FL 33626-5114
Mailing address
10641 Sheldon Rd
Westchase, FL 33626-5114
Phone (813) 951-1970
Other providers in Westchase, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.