Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jerry Wayne Childress, DDS

Individual provider General Practice Dentistry · NPI 1528132859

Dr. Jerry Wayne Childress, DDS is a General Practice Dentistry in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

6708 Regal Oaks Drive Regal Oaks Dental Ofc
Charlotte, NC 28212
Phone: (704) 536-0269
Fax: (704) 536-7520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 3658 (NC)

Record details

NPI number1528132859
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESJuly 8, 2007

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