Provider Demographics
NPI:1447094982
Name:ARCORIA, CHARLES JAMES JR (DDS)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:JAMES
Last Name:ARCORIA
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8214 COUNTY ROAD 4044
Mailing Address - Street 2:
Mailing Address - City:KEMP
Mailing Address - State:TX
Mailing Address - Zip Code:75143-5101
Mailing Address - Country:US
Mailing Address - Phone:817-680-0239
Mailing Address - Fax:
Practice Address - Street 1:8214 COUNTY ROAD 4044
Practice Address - Street 2:
Practice Address - City:KEMP
Practice Address - State:TX
Practice Address - Zip Code:75143-5101
Practice Address - Country:US
Practice Address - Phone:817-680-0239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12533122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist