IndividualActive
Charles Fields, DMD
NPI 1699778175 · Periodontics · Reston, VA
Provider details
- NPI number
- 1699778175
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0401007253 (VA)
Specialties & taxonomies
Dental Providers
Practice location
1886 Metro Center Dr
Ste 610
Reston, VA 20190-5288
Phone: (703) 689-4442
Fax: (703) 689-0859
Approximate (ZIP-level) locationGet directions
Mailing address
1886 Metro Center Dr
Reston, VA 20190-5288
Registry dates
- Enumerated
- 2005-05-27
- Last updated
- 2013-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.