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Deactivated NPI 1508901380 Deactivated / Inactive NPI Male Practitioner

Dr. Charles A Robertson , DDS

Dentist - General Practice • Corpus Christi, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Robertson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 20, 2007
NPI Deactivation Date September 20, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Robertson, DDS was a registered Dentist - General Practice practicing in Corpus Christi, TX. Throughout an active medical career spanning 16 years, Dr. Robertson provided care at the practice location at 4822 HOLLY RD until profile deactivation on 2023-09-20.

Practice Location & Contact Primary Location

Practice Address

4822 Holly Rd
Suite C

Corpus Christi, TX 784114734

Telephone 3619923011
Fax 3619928417

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Corpus Christi, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
112 Specialists

Practicing in Corpus Christi, TX (10570 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 11216

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Nicholas Orchard , DDS

Dentist - General Practice

NPI 1801017553

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 20, 2023

Record deactivated on September 20, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4822 HOLLY RD, SUITE C, CORPUS CHRISTI, TX 784114734 (Tel: 3619923011)

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Updated Business Mailing Address July 08, 2007

Registered at 4822 HOLLY RD, SUITE C, CORPUS CHRISTI, TX 784114734 (Tel: 3619923011)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES ROBERTSON, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #11216 in TX)

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Initial NPI Registration & Enumeration February 20, 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: 1508901380
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2007
Last Update: July 08, 2007
Deactivation Date: September 20, 2023

Mailing Address

4822 Holly Rd, Suite C

Corpus Christi, TX 784114734

Phone: 3619923011

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.