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CHARLES W PHILLIPS DD
NPI 1912091935
Dentist - General Practice in Kodiak, AK

Active since October 03, 2006
3449 E REZANOF DR, KODIAK, AK 99615(907) 486-9800(907) 486-9898 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles W Phillips Dd NPPES

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

CHARLES W PHILLIPS DD (NPI 1912091935) is an individual general practice provider in Kodiak, Alaska, licensed in Alaska (1169) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1912091935
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCHARLES W PHILLIPSCredential: DD
Location Address3449 E REZANOF DRKodiak, AK 99615-6952
Mailing Address3449 E Rezanof DrKodiak, AK 99615-6952 · (907) 486-9800 · Fax (907) 486-9898
Phone(907) 486-9800
Fax(907) 486-9898
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1912091935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AK · 1169
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.
3449 E REZANOF DR, Kodiak, AK 99615
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Other Identifiers 1

MedicaidDD5430AK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KODIAK AREA NATIVE ASSOCIATION PHARMACY
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9860
JOANNE MARIE WARD CHA-P
Community Health Worker
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800
MICHAEL HANDRICKS
Counselor
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9824
ALISON STARR PA-C
Physician Assistant
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800
JORDAN BEARD
Counselor (Professional)
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 942-0672
MARGARET KAVANAUGH
Case Manager/Care Coordinator
3449 E REZANOF DR, INFANT LEARNING PROGRAM
KODIAK, AK 99615
Kodiak Island Borough (907) 486-1374
IRENE RAE NELSON
Community Health Worker
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800
PAIGE BUER PA-C
Physician Assistant
3449 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9800

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 Charles Phillips's NPI number?

The NPI number for Charles Phillips is 1912091935. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Charles Phillips located?

Charles Phillips practices at 3449 E Rezanof Dr, Kodiak, AK 99615. The listed phone number is (907) 486-9800.

What is Charles Phillips'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 Charles Phillips was last updated on July 9, 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.