DR. CHARLES LARRY CLARK JR. D.M.D
NPI 1083866222
Dentist - General Practice in Albany, GA

Q: What is Charles Clark's NPI number?

The NPI number for Charles Clark is 1083866222. It was assigned to this individual provider in the NPPES registry on October 21, 2008.

Q: What is Charles Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Charles Clark was last updated on October 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 21, 2008

2415 GILLIONVILLE RD, ALBANY, GA 31707(229) 432-6751(229) 432-5918 Get Directions Write a Review

NPPES record last updated: October 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Charles Larry Clark Jr. D.m.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES LARRY CLARK JR. D.M.D (NPI 1083866222) is an individual general practice provider in Albany, Georgia, licensed in Georgia (DN013577) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1083866222

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. CHARLES LARRY CLARK JR.Credential: D.M.D

Location Address2415 GILLIONVILLE RDAlbany, GA 31707-3022

Mailing Address2415 Gillionville RdAlbany, GA 31707-3022 · (229) 432-6751 · Fax (229) 432-5918

Phone(229) 432-6751

Fax(229) 432-5918

Sole ProprietorYes

Enumeration DateOctober 21, 2008

✔ NPI 1083866222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · DN013577

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2415 GILLIONVILLE RD, Albany, GA 31707

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Clark's NPI number?

The NPI number for Charles Clark is 1083866222. It was assigned to this individual provider in the NPPES registry on October 21, 2008.

Where is Charles Clark located?

Charles Clark practices at 2415 Gillionville Rd, Albany, GA 31707. The listed phone number is (229) 432-6751.

What is Charles Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Charles Clark accept?

Health plans from Humana list Charles Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Clark was last updated on October 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.