Wilfred A Charles, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6650 Issued in MD

Practice address

1300 Caraway CT Ste 105
Upper Marlboro, MD 20774-5462

Phone

(301) 925-7990

Fax

(301) 925-7449

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1710017231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12503 PLEASANT PROSPECT RD",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207212520",
            "telephone_number": "301-249-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CARAWAY CT STE 105",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745462",
            "telephone_number": "301-925-7990",
            "fax_number": "301-925-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "WILFRED",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "6650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Violet Bih Che
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• Nia Cheers, FNP
• Min-Shue Alvin Chen, M.D.

• General Practice Dentistry in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.