CHARLES MILTON CLARK DMD
NPI 1346381886
Dentist in Chesterfield, SC

Q: What is Charles Clark's NPI number?

The NPI number for Charles Clark is 1346381886. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Q: What is Charles Clark's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 February 09, 2007PECOS Enrolled

918 HOLLY ST, CHESTERFIELD, SC 29709(843) 623-2053 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Charles Milton Clark Dmd NPPES

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

CHARLES MILTON CLARK DMD (NPI 1346381886) is an individual dentist in Chesterfield, South Carolina, licensed in South Carolina (1921) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346381886

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameCHARLES MILTON CLARKCredential: DMD

Location Address918 HOLLY STChesterfield, SC 29709

Mailing AddressPo Box 70Chesterfield, SC 29709 · (843) 623-2053

Phone(843) 623-2053

Sole ProprietorNo

Enumeration DateFebruary 9, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1346381886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in SC · 1921

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

918 HOLLY ST, Chesterfield, SC 29709

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Other Identifiers 1

MedicaidZ19212SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Milton Clark Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29709 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES M CLARK DMD PA

Dentist

918 HOLLY ST
CHESTERFIELD, SC 29709

Chesterfield County (843) 623-2053

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 1346381886. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Charles Clark located?

Charles Clark practices at 918 Holly St, Chesterfield, SC 29709. The listed phone number is (843) 623-2053.

What is Charles Clark's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Charles Clark enrolled in Medicare?

Yes. Charles Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.