DR. CHARLES F. WENNOGLE (NPI# 1609974831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609974831 |
| Entity Type | Individual |
| Full Name | DR. CHARLES F. WENNOGLE |
| Credential | DDS |
| Practice Address |
17715 E Jamison Ave Centennial CO 80016-1814 |
| Mailing Address |
11275 E Mississippi Ave Aurora CO 80012-3263 |
| Practice Telephone | 3036904687 |
| Mailing Telephone | 3036904687 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
563 | CO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396835054 | Charles F Wennogle Jr. | Radiology | 9582 W Colonial Dr, Ocoee, FL 34761-6992 | 2006-10-13 |
| Street Address |
17715 E JAMISON AVE |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80016-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271126 | Saddle Rock Oral and Facial Reconstructive Surgery Pllc | Oral & Maxillofacial Surgery | 7380 S. Gartrell Rd, Aurora, CO 80016 | 2020-09-28 |
| 1104380443 | Yuki Dykes Dds PC | Dentist | 6240 S Main St., Ste 275, Aurora, CO 80016 | 2019-01-30 |
| 1578038436 | Capitol Peak Home Care Services | Home Health Aide | 16372 E Fremont Ave, Unit 11 Bldg 4, Aurora, CO 80016 | 2018-10-08 |
| 1881190791 | Rehoboth Home Support, LLC | Transportation Broker | 22735 E Frost Pl, Aurora, CO 80016 | 2018-04-02 |
| 1902336514 | Trey Medical Enteprises, Inc. | Family Medicine | 15033 E Maplewood Dr., Centennial, CO 80016 | 2017-06-15 |
| 1598293185 | Rocky Mountain Physicians Group, PC | Clinic/Center | 7460 S Gartrell Rd, Aurora, CO 80016 | 2017-05-26 |
| 1629501358 | Shanah Care Services | Home Health | 6012 S. Telluride Cir, Aurora, CO 80016 | 2017-04-10 |
| 1962888966 | Joseph Kuzemchak | Health Maintenance Organization | 6105 S. Parker Rd, Apt. 8103, Centennial, CO 80016 | 2015-08-03 |
| 1174902738 | Lindsey Moore Baker | Physical Therapist | 6202 S Parker Rd Unit 500, Centennial, CO 80016 | 2015-05-28 |
| 1093107724 | Nathan Mitchell | Specialist/Technologist, Other | 25480 E Hinsdale Pl, Aurora, CO 80016 | 2015-03-04 |
| Find all providers in zip 80016 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609174218 | Bryce Jay Darrell Williams | Dentist | 14000 East Arapahoe Road Suite #320, Centennial, CO 80112 | 2011-03-06 |
| 1811199920 | Advanced Oral & Maxillofacial Surgery | Dentist | 9094 E Mineral Ave., Suite 260, Centennial, CO 80112-7201 | 2007-06-01 |
| 1871881664 | Carlton J Floyd Dds Ms PC | Dentist | 20971 E Smoky Hill Rd, Suite #201, Centennial, CO 80015-5186 | 2011-07-14 |
| 1013170968 | Randall J Russell | Dentist | 20971 E Smoky Hill Rd, Suite 201, Centennial, CO 80015-5186 | 2008-07-09 |
| 1336322346 | Aaron T. Liddell | Dentist | 14000 E. Arapahoe Road, Suite 320, Centennial, CO 80112-4047 | 2007-12-12 |
| 1982727657 | Edward Marc Weideman | Dentist | 9094 E Mineral Ave, Suite 260, Centennial, CO 80112 | 2007-04-09 |
| 1184798290 | Carlton James Floyd | Dentist | 20971 E Smoky Hill Rd, Suite #201, Centennial, CO 80015-5186 | 2006-11-20 |
| 1437223419 | Thomas Stanley Michalik | Dentist | 9094 E. Mineral Ave., Suite 260, Centennial, CO 80112 | 2006-11-20 |
| 1538268917 | James Robert Lessig | Dentist | 9094 E Mineral Ave, Suite 260, Centennial, CO 80112 | 2006-09-21 |
| 1003925058 | Brandon Dean Schultz | Dentist | 15250 E Orchard Rd, Centennial, CO 80016 | 2006-08-30 |
| Find all providers in CENTENNIAL | ||||
| City | CENTENNIAL |
| Zip Code | 80016 |
Please comment or provide details below to improve the information on DR. CHARLES F. WENNOGLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.