NPI age
15 years
Enumerated 2010-08-20
● Active Type 2 · Organization
Brian W Charles DMD
Brian W Charles DMD is 1 of 202 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Charles
Owner
Last NPPES update
2010-08-20
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
15 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-08Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
509 Pine St
McCall, ID 836385017
Mailing address
509 Pine St
McCall, ID 836385017
Authorized official
Brian W Charles, DMD
Owner
📞 2086347653
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002547300 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.