# CHARLES F. WHITAKER MD INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Affiliated Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144314956
- **Authorized official:** DR. CHARLES FREDERIC WHITAKER III MD (OWNER/PRESIDENT)
- **Authorized official phone:** (304) 424-4961

## Contact information

- **Practice address:** 600 18TH ST, SUITE 304, PARKERSBURG, WV 26101-3231
- **Practice address phone:** (304) 424-4961
- **Practice address fax:** (314) 424-4861
- **Mailing address:** 600 18TH STREET, SUITE 304, PARKERSBURG, WV 26101
- **Mailing address phone:** (304) 424-4961
- **Mailing address fax:** (314) 424-4861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2353WV | WV | Yes |
| 208000000X | Pediatrics Physician | WV 09456 | WV | — |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3810005485 | — | WV |