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Licensing details for: 51646

Name: SACKETT, CHARLES EDWIN IV

License Type: Dentist

Primary Status: Current - Active

Previous Names: SACKETT IV, CHARLES EDWIN

Address of Record

4750 Peninsula Point Dr
SEASIDE CA 93955-6506
MONTEREY county
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Issuance Date

October 8, 2003

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
11:4:29 PM

License Relationships

OCS to DDS, OMS, or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Oral Conscious Sedation Certificate

Name: SACKETT, CHARLES(CARL) EDWIN IV

License/Registration Type: Oral Conscious Sedation Certificate

License Number: 835 Primary Status: Cancelled

Address :
4750 Peninsula Point Dr
SEASIDE CA 93955-6506
MONTEREY COUNTY

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PMS to DDS or OMS or SP

License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Related Party Role: Pediatric Minimal Sedation Permit

Name: SACKETT, CHARLES EDWIN IV

License/Registration Type: Pediatric Minimal Sedation Permit

License Number: 307 Primary Status: Current - Active

Address :
631 EAST ALVIN DR.
SALINAS CA 93906
MONTEREY COUNTY

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