Charles W. Phillips, DD

General Practice Dentistry · Kodiak, AK

Individual Active NPI

NPI number 1912091935

Practice location

3449 E Rezanof Dr
Kodiak, AK 99615-6952
Phone
(907) 486-9800
Fax
(907) 486-9898

Open in Google Maps

NPI record

NPI
1912091935
Entity type
Individual (Type 1)
Enumeration date
October 3, 2006
Last updated
July 9, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 1169 AK

About Charles Phillips

Charles W. Phillips, DD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3449 E Rezanof Dr, Kodiak, AK 99615-6952. The NPI number 1912091935 was assigned on October 3, 2006 and the record was last updated on July 9, 2007.

Charles Phillips lists a license in the registry: #1169 (AK) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles W. Phillips, DD?

The NPI number is 1912091935.

What is the phone number of Charles Phillips?

The phone number listed for the practice location is (907) 486-9800.

Where is Charles Phillips located?

3449 E Rezanof Dr, Kodiak, AK 99615-6952.

What is the taxonomy code for Charles Phillips?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Kodiak

All General Practice Dentistry providers in Kodiak, AK →