Dr. Charles Richard Cordova , DDS
Dentist - General Practice • Homer, AK
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Cordova has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Charles Cordova, DDS was a registered Dentist - General Practice practicing in Homer, AK. Throughout an active medical career spanning 19 years, Dr. Cordova provided care at the practice location at 3714 GREAT LAND ST until profile deactivation on 2025-04-10.
Practice Location & Contact Primary Location
3714 Great Land St
Homer, AK 99603
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Homer, AK
Practicing in Homer, AK (346 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 10, 2025
NPI status registered as active in NPPES database
Registered at 3714 GREAT LAND ST, HOMER, AK 99603 (Tel: 9072356106)
Registered at 3714 GREAT LAND ST, HOMER, AK 99603 (Tel: 9072356106)
Recorded as CHARLES CORDOVA, DDS
Dentist (License #AA691 in AK)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3714 Great Land St
Homer, AK 99603
Phone: 9072356106
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