Individual provider · Type 1 NPI

Charles Lee Hatley, DMD

Prosthodontics · Fort Gordon, GA

NPI number 1104927060 Active

Practice location

38th Street/bldg 38717, Usa Dentac
Fort Gordon, GA 30905-5660

Call (706) 787-6927 Map

Fax (706) 787-2082

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X6091 (KY)
Dentist 122300000X7047 (TN)
Prosthodontics 1223P0700X6091 (KY)
Prosthodontics Primary 1223P0700X7047 (TN)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

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About NPI 1104927060

Charles Lee Hatley, DMD's National Provider Identifier is 1104927060, issued on Sep 25, 2006. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Fort Gordon, GA. The record was last updated on Sep 11, 2025.