Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES CLARK
Active Sole ProprietorDR. CHARLES CLARK is a Pediatric Dentistry healthcare provider located in EAST BOSTON, Massachusetts. NPI 1346133287 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · EAST BOSTON, MA
Registration Details
- NPI Number
- 1346133287
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2025 (1.2261302851644 yrs)
- Last Updated
- May 30, 2025
- License
-
1857730 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 MAVERICK SQEAST BOSTON, MA, 021282335Browse MA providers · Browse ZIP 02128
- Phone
- 6175684464
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in EAST BOSTON, MA
| Name | Credential | NPI |
|---|---|---|
| MAGNOLIA VENEGAS | D.M.D. | 1942225891 |
| SUSAN D LO | D.M.D. | 1396764601 |
| DR. MICHELLE J ANDERSON | DMD | 1801037643 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.