Healthcare Provider Details

I. General information

NPI: 1649192345
Provider Name (Legal Business Name): CHARLES JOHN DEVENISH MEARES M.B.B.S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 ERWIN ROAD DUKE UNIVERSITY HOSPITAL
DURHAM NC
27705
US

IV. Provider business mailing address

40 DUKE MEDICINE CIRCLE DUMC 3974
DURHAM NC
27710
US

V. Phone/Fax

Practice location:
  • Phone: 919-416-3853
  • Fax:
Mailing address:
  • Phone: 919-681-7139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number2026-02530
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: