Doctor profile · Federal record
Dr. Charles Park, DDS
Dentist · Fairfax, VA
- NPI 1639140023
- 20 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
4290 Chain Bridge RD Ste 202
Fairfax, VA 220308158
(703) 828-6630
fax (888) 636-8702 - Additional location
-
10107 Baltimore Ave Apt 4307
College Park, MD 207404233
(443) 235-6758
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- April 27, 2019
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Virginia #0401411122
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639140023. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$17
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Voco America INC. | 1 | $17.00 |
By nature of payment
Frequently asked questions
What is Dr. Charles Park's medical specialty?
Dr. Charles Park practices Dentist in Fairfax, VA.
Where does Dr. Charles Park practice?
Dr. Charles Park practices at 4290 Chain Bridge RD Ste 202, Fairfax, VA 220308158. Office phone: 7038286630.
What is Dr. Charles Park's NPI?
Dr. Charles Park's National Provider Identifier (NPI) is 1639140023, issued by NPPES.