Provider Demographics
NPI:1952803207
Name:HOSKINS, CHARLES R (DMD)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:R
Last Name:HOSKINS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 MOODY PARKWAY SUITE 9
Mailing Address - Street 2:
Mailing Address - City:MOODY
Mailing Address - State:AL
Mailing Address - Zip Code:35004
Mailing Address - Country:US
Mailing Address - Phone:205-640-0145
Mailing Address - Fax:205-640-6002
Practice Address - Street 1:2301 MOODY PARKWAY SUITE 9
Practice Address - Street 2:
Practice Address - City:MOODY
Practice Address - State:AL
Practice Address - Zip Code:35004
Practice Address - Country:US
Practice Address - Phone:205-640-0145
Practice Address - Fax:205-640-6002
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-02
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
ALPA.0006499.P1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty