National Provider Identifier Database

WILTON CHARLES
Dental Therapist

A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.


Contact Information

WILTON CHARLES
829 CHIEF EDDIE HOFFMAN HWY
BETHEL, AK99559
Phone: 907-543-6100
Fax: 907-543-6159
Website:
Specialty Taxonomy Code
* Dental Therapist 125J00000X
Counselor 101Y00000X

* Indicates primary specialty

NPI Profile & details for WILTON CHARLES

NPI Number 1396494373
Credentials
Entity Individual
Enumeration date 03/18/2022
Last updated 01/27/2025 - More than a year ago
Sole proprietor1 No
Identifiers
  • AK License #: 25-200-DHAT
  • AK Medicaid: 1020986
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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