DR. CHARLES LARRY CLARK JR.


Address: 2415 Gillionville Rd, Albany, GA 31707-3022
Phone: 2294326751

DR. CHARLES LARRY CLARK JR. (NPI# 1083866222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083866222
Entity Type Individual
Full Name DR. CHARLES LARRY CLARK JR.
Credential D.M.D
Practice Address 2415 Gillionville Rd
Albany
GA 31707-3022
Practice Telephone 2294326751
Practice Fax Number 2294325918
Mailing Telephone 2294326751
Mailing Fax Number 2294325918
Enumeration Date 2008-10-21
Last Update Date 2008-10-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DN013577 GA Dental Providers

Other Providers CHARLES CLARK

NPI Name Taxonomy Address Enumeration
1760940753 Charles Patrick Clark Physician Assistant 6621 Fannin St, Houston, Houston, TX 77030 2019-03-08
1013485713 Charles Nicholson Clark Nurse Practitioner 1331 Bandera Hwy Ste 4, Kerrville, TX 78028-9535 2018-11-12
1568971653 Charles E Clark IIi Counselor 255 Main Street, St. Clairsville, OH 43950 2017-09-21
1649680406 Charles Amos Clark Internal Medicine Vanderbilt University Dept of Medicine, D-3100, Medical Center North, Nashville, TN 37232 2014-05-02
1124301106 Charles Malcolm Clark Jr. Internal Medicine 2802 Lafayette Road Suite 13, Eagledale Health Center, Indianapolis, IN 46222-2112 2011-09-26
1811290935 Charles Warren Clark Jr. Massage Therapist 19577 Fm 2854 Rd, Montgomery, TX 77316-3150 2010-12-11
1780913640 Charles S Clark Physician Assistant Bldg. H 2005 Knight Lane Attn: Medical Staff Services, Navy Medicine Support Command, Jacksonville, FL 92055-0140 2009-12-23
1689826984 Charles John Clark Pharmacist 203 So. Daisy, Salmon, ID 83467 2008-10-17
1164642948 Charles Robert Clark Family Medicine 1725 N Sky Glen Path, Hernando, FL 34442-6187 2007-04-26
1093722902 Charles Kevin Clark Physical Therapist 10214 N Tatum Blvd, Suite B-500, Phoenix, AZ 85028-4224 2006-08-02

Office Location

Street Address 2415 GILLIONVILLE RD
City ALBANY
State GA
Zip Code 31707-3022

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396394011 Barbara Cannon Technician 2025 Gail Avenue, Albany, GA 31707 2019-09-05
1669941035 Wallace Coleman Counselor 2403 Osler Court, Suite B, Albany, GA 31707 2018-11-15
1992293955 Tiffany Timmerman Massage Therapist Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 2018-04-25
1225550957 Christopher George Solomon Nurse Practitioner 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 2017-07-14
1689107229 Teemercare @ Home LLC Home Health 1129 Dawson Rd Ste A, Albany, GA 31707 2017-04-11
1205373917 Nicarro Henderson Specialist 2005 E Dawson Rd, Albany, GA 31707 2017-01-20
1235567918 Restoration of The Minds LLC Community/Behavioral Health 1408 Edgerly Avenue, Albany, GA 31707 2013-10-16
1588091334 Marsha Danell Glover Pediatrics 517 N. Westover Blvd., Albany, GA 31707 2013-10-10
1003253139 Bailey Healthcare Inc Community/Behavioral Health 2416 Suite B Westgate Dr, Albany, GA 31707 2013-05-30
1346685666 Albany Urology Surgery Center LLC Clinic/Center 2400 Osler Court, Albany, GA 31707 2013-04-30
Find all providers in zip 31707

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245860345 Hickory St LLC Dentist 637 Hickory St Nw Ste 110, Albany, OR 97321-1761 2020-01-17
1851945372 Alaine Tay Shomali Prevish Dentist 409 1st Ave Nw, Albany, OR 97321-2227 2019-08-01
1053971028 Richard Randall Mcneely Dentist 1725 Dawson Rd, Albany, GA 31707-3362 2019-06-20
1417438102 David Levine Dentist 888 Western Ave, Albany, NY 12203-2532 2018-08-22
1417440223 Megan Raiber Dentist 360 Railroad Ave, Albany, MN 56307-6201 2018-06-07
1619386604 Courtney Ann Miller Dentist 2815 Willetta St, Suite A-1, Albany, OR 97321 2014-08-05
1417290925 Alexander Q Steres Dentist 1873 Western Ave Ste 200, Albany, NY 12203-5028 2013-04-03
1932447620 Tina Jacob Dentist 5 Pine West Plz Ste 504, Albany, NY 12205-5587 2013-01-30
1669721452 Centre' for Cosmetic Dentistry Dentist 2824 Gillionville Rd, Albany, GA 31721-2904 2012-09-07
1316222896 Michael Jack Goger Dentist 1215 Hill St Se, Albany, OR 97322-3238 2011-10-17
Find all providers in ALBANY

Competitor

Search similar providers

City ALBANY
Zip Code 31707

Improve Information

Please comment or provide details below to improve the information on DR. CHARLES LARRY CLARK JR..

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches