Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1326163809 Individual Practitioner Male Practitioner

Dr. Charles Randle Dillard , DMD

Dentist - Endodontics • Jasper, AL

Professional Overview & Biography Verified Profile Summary

Dr. Charles Dillard, DMD is a registered healthcare professional specializing in Dentist - Endodontics in Jasper, AL. Practice services are available at 4330 HIGHWAY 78 E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4330 Highway 78 E
Suite 200

Jasper, AL 355018905

Telephone 2022952992
Fax 2053841291
Associated Practice Facility / Clinic
🏢 Jasper Medical Supply, Inc. Facility NPI 1609829399

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Jasper, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Jasper, AL (78 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License AL 4917

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Katrina White , DMD

Dentist - Pediatric Dentistry

NPI 1164555967

Doctor of Dental Medicine

Jeffrey Boyles , PT

Physical Therapist

NPI 1396993689

Physical Therapist

Rebecca Black

Speech-Language Pathologist

NPI 1629134895
Dr. Lory Avsar , DMD

Dentist - Periodontics

NPI 1669686713

Doctor of Dental Medicine

Wendy Morrison

Physical Therapist

NPI 1962568154

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 4330 HIGHWAY 78 E, SUITE 200, JASPER, AL 355018905 (Tel: 2022952992)

📍
Updated Business Mailing Address July 09, 2007

Registered at 4330 HIGHWAY 78 E, SUITE 200, JASPER, AL 355018905 (Tel: 2022952992)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as CHARLES DILLARD, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #4917 in AL)

🟢
Initial NPI Registration & Enumeration March 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326163809
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2007
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

4330 Highway 78 E, Suite 200

Jasper, AL 355018905

Phone: 2022952992

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.