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Charles Lawrence Clark, DDS
General Practice Dentistry in Stillwater, Minnesota
NPI 1558408930

Charles Lawrence Clark is a General Practice Dentistry based in Inver Grove Heights, MN and is specialized in General Practice. Charles Lawrence Clark practices in Stillwater, MN and has the professional credentials of DDS. The NPI Number for Charles Lawrence Clark is 1558408930 and holds a License No. D8160 (Minnesota).

The current practice location address for Charles Lawrence Clark is 13961 60Th St N, Stillwater, MN and can be reached out via phone at 651-439-2600 and via fax at 651-439-2211. You can also correspond with Charles Lawrence Clark through the mailing address at PO BOX 2054, INVER GROVE HEIGHTS, MN - 55076-8054 (mailing address contact number: 507-421-0610).

Location: 13961 60Th St N, Stillwater, MN, 55076-8054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558408930
Provider Name
Charles Lawrence Clark
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
13961 60Th St N, Stillwater, MN, 55076-8054
Phone Number
651-439-2600
Fax Number
651-439-2211
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
13961 60Th St N
City
Stillwater
State
Minnesota
Zip
55082-1053
Phone Number
651-439-2600
Fax Number
651-439-2211
person
Provider Business Mailing Address Details
Address
13961 60Th St N
City
Stillwater
State
Minnesota
Zip
55082-1053
Phone Number
651-439-2600
Fax Number
651-439-2211
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D8160 (Minnesota)
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.
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