DR. JERRY WAYNE CHILDRESS DDS
NPI 1528132859
Dentist - General Practice in Charlotte, NC

Q: What is Jerry Childress's NPI number?

The NPI number for Jerry Childress is 1528132859. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Q: What is Jerry Childress's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Childress was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 20, 2006

6708 REGAL OAKS DRIVE, REGAL OAKS DENTAL OFFICE, CHARLOTTE, NC 28212(704) 536-0269(704) 536-7520 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Jerry Wayne Childress Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY WAYNE CHILDRESS DDS (NPI 1528132859) is an individual general practice provider in Charlotte, North Carolina, licensed in North Carolina (3658) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1528132859

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JERRY WAYNE CHILDRESSCredential: DDS

Location Address6708 REGAL OAKS DRIVE, REGAL OAKS DENTAL OFFICECharlotte, NC 28212

Mailing Address6708 Regal Oaks Drive, Regal Oaks Dental OfficeCharlotte, NC 28212 · (704) 536-0269 · Fax (704) 536-7520

Phone(704) 536-0269

Fax(704) 536-7520

Sole ProprietorNo

Enumeration DateNovember 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1528132859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 3658

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.

6708 REGAL OAKS DRIVE, Charlotte, NC 28212

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Other Identifiers 1

Other91555Bcbs

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Childress's NPI number?

The NPI number for Jerry Childress is 1528132859. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Jerry Childress located?

Jerry Childress practices at 6708 Regal Oaks Drive Regal Oaks Dental Office, Charlotte, NC 28212. The listed phone number is (704) 536-0269.

What is Jerry Childress's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jerry Childress was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.