NPI 1396494373

Wilton Charles

Practitioner Dental Therapist Bethel, AK

Practice location

Address: 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559
Phone: (907) 543-6100
Fax: (907) 543-6159
Mailing address: PO Box 528, Bethel, AK 99559-0528

Registered specialties (2)

Dental Therapist Primary

Dental Providers Taxonomy 125J00000X Licence 25-200-DHAT (AK)

Other Dental Therapist providers in Alaska →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Other Counselor providers in Alaska →

Registry record

NPI: 1396494373
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Mar 2022
Record last updated: 27 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.