Individual provider · Type 1 NPI

Charles James Waguespack, DDS

General Practice Dentistry · Raceland, LA

NPI number 1164716569 Active

Practice location

109 Johnny Dufrene Dr
Raceland, LA 70394-2611

Mailing address

PO Box E
Mathews, LA 70375-0429

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X6170 (LA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1164716569

Charles James Waguespack, DDS's National Provider Identifier is 1164716569, issued on Jun 2, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Raceland, LA. The record was last updated on Jun 2, 2011.