# KARIS DENTAL, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Karis Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326595083
- **Authorized official:** DR. CHARLES H. PARK DDS (DENTIST)
- **Authorized official phone:** (703) 853-0415

## Contact information

- **Practice address:** 4290 CHAIN BRIDGE RD, SUITE \#202, FAIRFAX, VA 22030-8157
- **Practice address phone:** (703) 828-6630
- **Practice address fax:** (888) 636-8702
- **Mailing address:** 4290 CHAIN BRIDGE RD, SUITE \#202, FAIRFAX, VA 22030-8157
- **Mailing address phone:** (703) 828-6630
- **Mailing address fax:** (888) 636-8702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401411122 | VA | Yes |

## Other

- **Enumeration date:** 09/09/2016
- **Last updated:** 09/09/2016