Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES RICHMOND FIELDS, DMD
Deactivated Sole ProprietorDR. CHARLES RICHMOND FIELDS, DMD is a Periodontology healthcare provider located in RESTON, Virginia. NPI 1699778175 is deactivated in the NPPES registry. Verify at CMS.
Periodontology · RESTON, VA
This NPI has been deactivated.
The record was deactivated on March 17, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1699778175
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2005 (0.80547945205479 yrs)
- Last Updated
- May 8, 2013
- Deactivated
- Mar 17, 2006
- License
-
0401007253 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1886 METRO CENTER DRSTE 610RESTON, VA, 201905288Browse VA providers · Browse ZIP 20190
- Phone
- 7036894442
- Fax
- 7036890859
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in RESTON, VA
| Name | Credential | NPI |
|---|---|---|
| DR. MATTHEW JOHN GRAMKEE | DDS | 1487679338 |
| WAHN KHANG | DMD | 1346453073 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.