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CHARLES M CLARK DMD PA
NPI 1457369308
Dentist in Chesterfield, SC

Active since August 04, 2006
918 HOLLY ST, CHESTERFIELD, SC 29709(843) 623-2053 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles M Clark Dmd Pa NPPES

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

CHARLES M CLARK DMD PA (NPI 1457369308) is a healthcare organization registered as a dentist in Chesterfield, South Carolina and active in the NPI registry since August 2006. The organization lists Charles Milton Clark, President, as its authorized official.

NPPES Registry Identity

NPI1457369308
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCHARLES M CLARK DMD PA
Location Address918 HOLLY STChesterfield, SC 29709
Mailing AddressPo Box 70Chesterfield, SC 29709 · (843) 623-2053
Phone(843) 623-2053
Organization SubpartNo
Authorized OfficialCharles Milton ClarkPresident · (843) 623-2053
Enumeration DateAugust 4, 2006
Last NPPES UpdateJune 16, 2008
✔ NPI 1457369308 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

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 MILTON CLARK DMD
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 M Clark Dmd PA's NPI number?

The NPI number for Charles M Clark Dmd PA is 1457369308. It was assigned to this organization in the NPPES registry on August 4, 2006.

Where is Charles M Clark Dmd PA located?

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

What is Charles M Clark Dmd PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Charles M Clark Dmd PA was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.