Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912091935 Individual Practitioner Male Practitioner

Charles W Phillips , DD

Dentist - General Practice • Kodiak, AK

Professional Overview & Biography Verified Profile Summary

Charles Phillips, DD is a registered healthcare professional specializing in Dentist - General Practice in Kodiak, AK. Practice services are available at 3449 E REZANOF DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3449 E Rezanof Dr

Kodiak, AK 996156952

Telephone 9074869800
Fax 9074869898
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kodiak, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Kodiak, AK (346 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AK 1169

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
DD5430 (AK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Joanne Ward , CHA-P

Community Health Worker

NPI 1033496682

CHAP

Alison Starr , PA-C

Physician Assistant

NPI 1063930709

Physician Assistant (Certified)

Irene Nelson

Community Health Worker

NPI 1134406614
Paige Buer , PA-C

Physician Assistant

NPI 1134761364

Physician Assistant (Certified)

Carolyn Knowles

Dental Hygienist

NPI 1144646407
Phillip Jordinelli , CDCS, NCACI, SAP

Counselor - Addiction (Substance Use Disorder)

NPI 1144669466

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 3449 E REZANOF DR, KODIAK, AK 996156952 (Tel: 9074869800)

📍
Updated Business Mailing Address July 09, 2007

Registered at 3449 E REZANOF DR, KODIAK, AK 996156952 (Tel: 9074869800)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as CHARLES PHILLIPS, DD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #1169 in AK)

🟢
Initial NPI Registration & Enumeration October 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912091935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

3449 E Rezanof Dr

Kodiak, AK 996156952

Phone: 9074869800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.