DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES M CLARK DMD PA

Active Organization

CHARLES M CLARK DMD PA is a Dentist organization located in CHESTERFIELD, South Carolina. NPI 1457369308 is currently active in the NPPES registry. Verify at CMS.

Dentist · CHESTERFIELD, SC

Registration Details

NPI Number
1457369308
Provider Type
Organization
NPI Issued
Aug 4, 2006 (20.01182777369 yrs)
Last Updated
Jun 16, 2008
License
1921 (SC)

Practice Information

Address
918 HOLLY ST
CHESTERFIELD, SC, 29709
Browse SC providers · Browse ZIP 29709
Phone
8436232053
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.