Wilton Charles, is a
Dental Therapist based in Bethel, Alaska. Wilton Charles is licensed to practice in Alaska (license number 25-200-DHAT) and his current practice location is
829 Chief Eddie Hoffman Hwy, Bethel, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 543-6100.
NPI number for Wilton Charles is 1396494373 and his current mailing address is Po Box 528, Bethel, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396494373.
Healthcare Provider's Profile
| Full Name | Wilton Charles |
|---|
| Gender | Male |
|---|
| Speciality | Dental Therapist |
|---|
| Location | 829 Chief Eddie Hoffman Hwy, Bethel, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1396494373
- Provider Enumeration Date: 03/18/2022
- Last Update Date: 01/27/2025
Medical Identifiers
Medical identifiers for Wilton Charles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396494373 | NPI | - | NPPES |
| 1020986 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 125J00000X | Dental Therapist | 25-200-DHAT (Alaska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wilton Charles is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Wilton Charles,
Po Box 528,
Bethel, AK 99559-0528
Ph: (907) 543-6100 | Wilton Charles,
829 Chief Eddie Hoffman Hwy,
Bethel, AK 99559
Ph: (907) 543-6100 |
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