Charles Dudley Parks is a Roanoke, Virginia based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Charles Dudley Parks is
0401008066 for General Practice Dentistry in Virginia. His current practice location is
5004 Brambleton Ave, Roanoke. Patients can reach him at
540-774-1019.
Charles Dudley Parks is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Charles Dudley Parks speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Charles Dudley Parks |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 5004 Brambleton Ave, Roanoke,
Virginia, 24018-4642 |
| Phone: | 540-774-1019 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1538219803 |
| NPI Enumeration Date: | 11 Jan, 2007 |
| NPI Last Update On: | 21 May, 2020 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Dudley Parks are as mentioned below.
| License Number | Specialization | State | Status | |
| 0401008066 | General Practice Dentistry | Virginia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Charles Dudley Parks such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| $$$$$$$$$ | Other | Virginia | SOCIAL SECURITY NUMBER |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6635 Mount Chestnut Rd,
Roanoke, Virginia |
| Zip: | 24018-8111 |
| Phone Number: | 540-989-9305 |
Patients can reach Charles Dudley Parks at
5004 Brambleton Ave, Roanoke, Virginia or can
call to book an appointment on 540-774-1019.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.