Provider Demographics
NPI:1528159464
Name:WEBB, CHARLES MURRAY (DDS)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:MURRAY
Last Name:WEBB
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 1:916 CURLEW RD
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-1901
Mailing Address - Country:US
Mailing Address - Phone:727-736-1777
Mailing Address - Fax:
Practice Address - Street 1:916 CURLEW RD
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-1901
Practice Address - Country:US
Practice Address - Phone:727-736-1777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN14497122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0717-142-00Medicaid