Provider Demographics
NPI:1871626127
Name:SEGLER, CHARLES EDWARD (DDS)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:EDWARD
Last Name:SEGLER
Suffix:
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 1:2915 S FEDERAL HWY
Mailing Address - Street 2:SUITE D-1 DUMAR PLAZA
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-3288
Mailing Address - Country:US
Mailing Address - Phone:561-278-6008
Mailing Address - Fax:561-278-5522
Practice Address - Street 1:2915 S FEDERAL HWY
Practice Address - Street 2:SUITE D-1 DUMAR PLAZA
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-3288
Practice Address - Country:US
Practice Address - Phone:561-278-6008
Practice Address - Fax:561-278-5522
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN82621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice