Dr. Charles Clark
Dentist, Pediatric Dentistry in East Boston, Massachusetts
1346133287- Practice location
- 20 Maverick Sq, East Boston, MA 02128-2335
- Phone
- 617-568-4464
- Fax
- —
- Last updated
- May 30, 2025
Charles Clark is a Dentist, Pediatric Dentistry based in East Boston, MA. Charles Clark practices in East Boston, MA. The NPI Number for Charles Clark is 1346133287 and holds a License No. 1857730 (MA). The current practice location address for Charles Clark is 20 Maverick Sq, East Boston, MA 02128-2335 and can be reached out via phone at 617-568-4464.
Provider Profile Details
- NPI Number
- 1346133287
- Provider Name
- Charles Clark
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 20 Maverick Sq, East Boston, MA 02128-2335
- Phone Number
- 617-568-4464
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 30, 2025
- Last Update Date
- May 30, 2025
- Certification Date
- May 30, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Maverick Sq
East Boston, MA 02128-2335 - City
- East Boston
- State
- Massachusetts
- Zip
- 02128-2335
- Phone Number
- 617-568-4464
Provider Business Mailing Address Details
- Address
- 1282 Boylston St Unit 1023
Boston, MA 02215-4462 - City
- Boston
- State
- MA
- Zip
- 02215-4462
License Information
- License Number
- 1857730
- License State
- MA
- Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near East Boston, MA
View all Dentist, Pediatric Dentistry providers in East Boston →- Dr. Michelle J Anderson, DMDDentist, Pediatric Dentistry · NPI 1801037643
- Magnolia Venegas, DMDDentist, Pediatric Dentistry · NPI 1942225891
- Susan D Lo, DMDDentist, Pediatric Dentistry · NPI 1396764601
- Maria I Ajanel Ziegra, CNPNurse Practitioner, Family · NPI 1780383067
- Kayla DuvallNurse Practitioner, Adult Health · NPI 1245185586
- Brian Kennedy SilvaSocial Worker, Clinical · NPI 1154221349
Frequently Asked Questions
What is the NPI number of Dr. Charles Clark?
The NPI number of Dr. Charles Clark is 1346133287. It was assigned on May 30, 2025 and is currently active in the NPPES registry.
What is the specialty of Dr. Charles Clark?
Dr. Charles Clark is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in MA under license number 1857730.
Where does Dr. Charles Clark practice?
The practice location is 20 Maverick Sq, East Boston, MA 02128-2335. The office can be reached at 617-568-4464 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346133287 directly on the NPPES registry website.