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Charles W Phillips, DD
General Practice Dentistry in Kodiak, Alaska
NPI 1912091935

Charles W Phillips is a General Practice Dentistry based in Kodiak, AK and is specialized in General Practice. Charles W Phillips practices in Kodiak, AK and has the professional credentials of DD. The NPI Number for Charles W Phillips is 1912091935 and holds a License No. 1169 (Alaska).

The current practice location address for Charles W Phillips is 3449 E Rezanof Dr, Kodiak, AK and can be reached out via phone at 907-486-9800 and via fax at 907-486-9898. You can also correspond with Charles W Phillips through the mailing address at 3449 E REZANOF DR, KODIAK, AK - 99615-6952 (mailing address contact number: 907-486-9800).

Location: 3449 E Rezanof Dr, Kodiak, AK, 99615-6952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912091935
Provider Name
Charles W Phillips
Credential
DD
Provider Entity Type
Individual
Gender
Male
Address
3449 E Rezanof Dr, Kodiak, AK, 99615-6952
Phone Number
907-486-9800
Fax Number
907-486-9898
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DD5430 05 AK
institution
Provider Business Practice Location Address Details
Address
3449 E Rezanof Dr
City
Kodiak
State
Alaska
Zip
99615-6952
Phone Number
907-486-9800
Fax Number
907-486-9898
person
Provider Business Mailing Address Details
Address
3449 E Rezanof Dr
City
Kodiak
State
Alaska
Zip
99615-6952
Phone Number
907-486-9800
Fax Number
907-486-9898
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1169 (Alaska)
Definition
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.
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