CHARLES M. REPA DDS – NPI #1629074547
Oral & Maxillofacial Surgery

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

CHARLES REPA is an oral & maxillofacial surgeon located in THE WOODLANDS, TX. NPPES has assigned the NPI number 1629074547 to CHARLES REPA on June 24, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was previously updated about 10 years ago on Dec 18, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES REPA below.

NPI Profile for
CHARLES M. REPA

NPI Number
1629074547
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES M. REPA
Credentials
DDS
Primary location
10333 KUYKENDAHL
SUITE A
THE WOODLANDS, TX 77382
Phone: (281) 296-9562 Fax: (281) 296-9774
Mailing address
4185 TECHNOLOGY FOREST BLVD
SUITE 120
THE WOODLANDS, TX 77381-2006
Phone: (281) 296-9562 Fax: (281) 296-9774
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)
TX 12889
1223S0112X
- Dentist / Oral and Maxillofacial Surgery
TX 12889

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency

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