Individual
CHARLES FRANKLIN PHILLIPS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1420 CENTRAL PARK BLVD STE 201, FREDERICKSBURG, VA 22401-4932
(540) 786-0696
Mailing address
VCUHS GMEA, BOX 980257, RICHMOND, VA 23298-0257
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418499
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
05/08/2026
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