Dr. Charles Gibson Blair , DDS
Dentist - General Practice • Phoenix, AZ
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 Blair has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Charles Blair, DDS was a registered Dentist - General Practice practicing in Phoenix, AZ. Throughout an active medical career spanning 14 years, Dr. Blair provided care at the practice location at 1641 W GLENDALE AVE until profile deactivation on 2021-09-10.
Practice Location & Contact Primary Location
1641 W Glendale Ave
Suite B
Phoenix, AZ 850218878
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Phoenix, AZ
Practicing in Phoenix, AZ (2600 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 September 10, 2021
NPI status registered as active in NPPES database
Registered at 1641 W GLENDALE AVE, SUITE B, PHOENIX, AZ 850218878 (Tel: 6022428505)
Registered at 1641 W GLENDALE AVE, SUITE B, PHOENIX, AZ 850218878 (Tel: 6022428505)
Recorded as CHARLES BLAIR, D.D.S.
Dentist (License #1763 in AZ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1641 W Glendale Ave, Suite B
Phoenix, AZ 850218878
Phone: 6022428505
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