Active NPI
Charles B Palmer, D.D.S.
- General Practice Dentistry
- Montross, VA
National Provider Identifier
1750365458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401006352
- Practice address
- 15587 Kings Hwy
Montross, VA 22520-0394 - Phone
- (804) 493-8993
- Fax
- (804) 493-0907
- NPI assigned
- Dec 6, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401006352 | VA | Primary |
Addresses
Primary practice location
15587 Kings Hwy
Montross, VA 22520-0394
Mailing address
PO Box 394
15587 Kings Hwy
Montross, VA 22520-0394
Phone (804) 493-8993
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028269 | Other | VA | ANTHEM PROVIDER |
| 435766 | Other | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401006352 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles B. Palmer DDS | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Montross, VA
- NPI 1609046226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1750365458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 394",
"address_2": "15587 KINGS HWY",
"city": "MONTROSS",
"state": "VA",
"postal_code": "225200394",
"telephone_number": "804-493-8993",
"fax_number": "804-493-0907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15587 KINGS HWY",
"city": "MONTROSS",
"state": "VA",
"postal_code": "225200394",
"telephone_number": "804-493-8993",
"fax_number": "804-493-0907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "CHARLES",
"middle_name": "B",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401006352",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER",
"identifier": "028269",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "435766",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montross, VA
- Michelle Baylor Johnson
- Deanna Lavery, LCSW
- Tammy Lynne Miller, RN
- Montross Volunteer Rescue Squad
- Brittney Worrell Owen, DDS
- Pathway Counseling Services LLC
- Pathway Counseling Services, LLC
- Potomac Family Counseling, LLC
- Sisson&Associates LLC (Physical Therapy & Wellness)
- Penny Page Snyder-Morris, MSN,FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.