Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1366532020 Deactivated / Inactive NPI Male Practitioner

Dr. Charles Thomas Wells , DDS

Dentist - General Practice • Glendale, CA

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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 Wells has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 13, 2006
NPI Deactivation Date April 07, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Wells, DDS was a registered Dentist - General Practice practicing in Glendale, CA. Throughout an active medical career spanning 14 years, Dr. Wells provided care at the practice location at 1122 N BRAND BLVD until profile deactivation on 2020-04-07.

Practice Location & Contact Primary Location

Practice Address

1122 N Brand Blvd
#203

Glendale, CA 912022572

Telephone 8182428747
Associated Practice Facility / Clinic
🏢 Glendale Pharmacy Inc Facility NPI 1184284457

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Glendale, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 47.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
155 Specialists

Practicing in Glendale, CA (18734 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 CA 09848

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Christopher Kurimoto , DDS

Dentist - General Practice

NPI 1114130267

Doctor of Dental Surgery

Dr. Alan Leon , DDS

Dentist - General Practice

NPI 1265553754

Doctor of Dental Surgery

NPI 1629425764

Doctor of Pharmacy (Pharm.D.)

Dr. Geoffrey Shanklin , DDS

Dentist - General Practice

NPI 1982820064

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 07, 2020

Record deactivated on April 07, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1122 N BRAND BLVD, #203, GLENDALE, CA 912022572 (Tel: 8182428747)

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Updated Business Mailing Address July 08, 2007

Registered at 1122 N BRAND BLVD, #203, GLENDALE, CA 912022572 (Tel: 8182428747)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES WELLS, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #09848 in CA)

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Initial NPI Registration & Enumeration October 13, 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: 1366532020
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2006
Last Update: July 08, 2007
Deactivation Date: April 07, 2020

Mailing Address

1122 N Brand Blvd, #203

Glendale, CA 912022572

Phone: 8182428747

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.