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DR. CHARLES LEE CLARK DDS
NPI 1659331650
Dentist - Oral and Maxillofacial Surgery in San Antonio, TX

Active since March 24, 2006
9150 HUEBNER RD STE 125, SAN ANTONIO, TX 78240(210) 614-3915 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Charles Lee Clark Dds NPPES

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

DR. CHARLES LEE CLARK DDS (NPI 1659331650) is an individual oral and maxillofacial surgery provider in San Antonio, Texas, licensed in Texas (18816) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1659331650
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. CHARLES LEE CLARKCredential: DDS
Location Address9150 HUEBNER RD STE 125San Antonio, TX 78240-1658
Mailing Address9150 Huebner Rd Ste 125San Antonio, TX 78240-1658 · (210) 614-3915
Phone(210) 614-3915
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1659331650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 18816
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
9150 HUEBNER RD STE 125, San Antonio, TX 78240
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.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 1659331650. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Charles Clark located?

Charles Clark practices at 9150 Huebner Rd Ste 125, San Antonio, TX 78240. The listed phone number is (210) 614-3915.

What is Charles Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Charles Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 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 September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.