Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1790878841 Deactivated / Inactive NPI Male Practitioner

Dr. Charles Duke Aldridge , DDS MAGD MICOI

Dentist - General Practice • Bend, OR

⚠️

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

Registration / Start Date October 02, 2006
NPI Deactivation Date December 17, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Aldridge, DDS MAGD MICOI was a registered Dentist - General Practice practicing in Bend, OR. Throughout an active medical career spanning 12 years, Dr. Aldridge provided care at the practice location at 2115 NE WYATT CT until profile deactivation on 2018-12-17.

Practice Location & Contact Primary Location

Practice Address

2115 Ne Wyatt Ct
Suite 103

Bend, OR 977017679

Telephone 5413301400
Fax 5413307375
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
72 Specialists

Practicing in Bend, OR (1994 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 OR D7653

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

6 Associated Practitioners
Christine Keller , LCSW

Social Worker - Clinical

NPI 1447545173

Licensed Clinical Social Worker

Dr. Bradford Dorsay , MD

Internal Medicine

NPI 1578519773

Doctor of Medicine (M.D.)

Dr. Clarence Carnahan , MD

Psychiatry & Neurology - Psychiatry

NPI 1619057171

Doctor of Medicine (M.D.)

Dr. Stephen Eraker , MD

Internal Medicine

NPI 1841306123

Doctor of Medicine (M.D.)

Kristine Raudy , PA-C

Physician Assistant - Medical

NPI 1902299902

Physician Assistant (Certified)

Dr. David Donnelly , MD

Internal Medicine

NPI 1952355828

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated December 17, 2018

Record deactivated on December 17, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2115 NE WYATT CT, SUITE 103, BEND, OR 977017679 (Tel: 5413301400)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2115 NE WYATT CT, SUITE 103, BEND, OR 977017679 (Tel: 5413301400)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES ALDRIDGE, DDS MAGD MICOI

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

Dentist (License #D7653 in OR)

🟢
Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Charles Aldridge. Be the first to share your experience!

Sign in to leave a review for Dr. Charles Aldridge

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1790878841
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: July 08, 2007
Deactivation Date: December 17, 2018

Mailing Address

2115 Ne Wyatt Ct, Suite 103

Bend, OR 977017679

Phone: 5413301400

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.