Charlie Buller III DDS
Charlie Buller III DDS provides Dentist services in Iowa, Louisiana. Licensed in Louisiana. Registered with an NPI since 2011.
- Licensed in
- LA
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
206 Thomson AveIowa, LA 70647-1179 Not confirmed with CMS for 15 years — call before visiting
Phone: (337) 582-7225
Fax: (337) 582-4867
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 4022 (LA) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 6173 (LA) |
Record details
| NPI number | 1255629390 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Charlie Buller — Owner · (337) 582-7225 |
| NPI enumerated | July 11, 2011 |
| Last updated in NPPES | July 11, 2011 |
| Mailing address | Po Box 1179, Iowa, LA 70647-1179 |