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General NPI Number Information
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NPI Number | 1467336842
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Entity Type | Organization
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Legal Business Name | CHARLES SHAVERS, DDS, PLLC
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 103 FOOD LION PLZ
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City | SILER CITY
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State | NC
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Zip | 27344-2835
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Country | US
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Telephone | 984-265-1644
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Fax |
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Provider Business Mailing Address
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Address Line | 103 FOOD LION PLZ
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City | SILER CITY
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State | NC
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Zip | 27344-2835
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Country | US
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Telephone | 984-265-1644
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. CHARLES SHAVERS
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Credential | DDS
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Telephone | 984-265-1644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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