Individual provider · Type 1 NPI

Charles Richard Payerle Jr., DDS MD

Oral and Maxillofacial Surgery (Dentist) · Burleson, TX

NPI number 1780894170 Active

Practice location

12001 South Fwy Ste 207
Burleson, TX 76028-7214

Mailing address

12001 S Freeway, #207
Burleson, TX 76028

Specialties and licenses

TaxonomyCodeLicense
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XS-355 (LA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X0023735 (TX)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1780894170

Charles Richard Payerle Jr., DDS MD's National Provider Identifier is 1780894170, issued on May 23, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Burleson, TX. The record was last updated on Jan 4, 2010.