CHARLES LAWRENCE CLARK DDS
NPI 1558408930
Dentist - General Practice in Saint Paul, MN

Active since February 01, 2007
444 CEDAR ST STE 208, SAINT PAUL, MN 55101(651) 222-1201(651) 760-8633 Get Directions Write a Review

NPPES record last updated: March 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2025, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Charles Lawrence Clark Dds NPPES

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

CHARLES LAWRENCE CLARK DDS (NPI 1558408930) is an individual general practice provider in Saint Paul, Minnesota, licensed in Minnesota (D8160) and active in the NPI registry since February 2007. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558408930
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCHARLES LAWRENCE CLARKCredential: DDS
Location Address444 CEDAR ST STE 208Saint Paul, MN 55101-2186
Mailing AddressPo Box 2054Inver Grove Heights, MN 55076-8054 · (507) 421-0610
Fax(651) 760-8633
Sole ProprietorYes
Enumeration DateFebruary 1, 2007
Last NPPES UpdateMarch 2, 20254 updates tracked since enumeration
NPPES CertifiedMarch 2, 2025
NPI 1558408930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in MN · D8160 Licensed in WI · 5001509-15
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.
444 CEDAR ST STE 208, Saint Paul, MN 55101

Secondary Practice Locations 2

Location 1302 S Pine StGrantsburg, WI 54840-7930 · Phone (715) 463-2882
Location 27425 Main St WWebster, WI 54893-8207 · Phone (715) 866-4204

Accepted 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 1558408930. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Charles Clark located?

Charles Clark practices at 444 Cedar St Ste 208, Saint Paul, MN 55101. The listed phone number is (651) 222-1201.

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 BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers 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 March 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.