DR. CHARLES WILLIAM CLARKE (NPI# 1134290323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134290323 |
| Entity Type | Individual |
| Full Name | DR. CHARLES WILLIAM CLARKE |
| Credential | D.D.S |
| Practice Address |
4121 Union Rd Ste 215 Saint Louis MO 63129-1070 |
| Practice Telephone | 3148945600 |
| Mailing Telephone | 3148945600 |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DE015629 | MO | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861653933 | Charles Sylvester Clarke | Speech-Language Pathologist | 4033 Whispering Pines Rd S, Augusta, GA 30906-9138 | 2008-06-22 |
| 1164746954 | Charles Mccarrol Clarke | Registered Nurse | 3811 Broadway, 3rd Floor, Astoria, NY 11103-4045 | 2010-03-23 |
| 1760655922 | Charles David Clarke | Psychiatry & Neurology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-5662 | 2008-04-09 |
| 1235332107 | Charles Clarke | Counselor | 914 E Broadway, 3rd Floor, Louisville, KY 40204-1037 | 2007-06-07 |
| 1336145366 | Charles E Clarke | Internal Medicine | 1099 Ohio River Blvd, Sewickley, PA 15143-2056 | 2005-06-23 |
| Street Address |
4121 UNION RD STE 215 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63129-1070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093269003 | Lakeside Behavioral Health, LLC | Psychiatry & Neurology | 4121 Union Rd, Suite 201, Saint Louis, MO 63129-1070 | 2016-08-08 |
| 1811195035 | Sheila Barnes | Social Worker | 4121 Union Rd, Suite 201, Saint Louis, MO 63129-1070 | 2007-07-10 |
| 1689745879 | C. W. Clarke Dds PC | Clinic/Center | 4121 Union Rd, Ste 215, Saint Louis, MO 63129-1070 | 2006-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
| 1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
| 1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
| 1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
| Find all providers in zip 63129 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366993719 | Bryan Allgeier | Dentist | 3941 Bowen St, Saint Louis, MO 63116 | 2016-10-20 |
| 1184816431 | Pearline, Dds & Roach, Dmd, PC | Dentist | 777 S New Ballas Rd Ste 201w, Saint Louis, MO 63141-8717 | 2007-08-10 |
| 1154481265 | Fariba Tahmasebi-moshiri | Dentist | 777 S New Ballas Rd Ste 305w, Saint Louis, MO 63141-8719 | 2006-12-11 |
| 1952471351 | Southwest Endodontics | Dentist | 10777 Sunset Office Dr Ste 100, Saint Louis, MO 63127-1019 | 2006-11-09 |
| 1205844461 | Daniel A. Dunbar, D.m.d., M.s., P.C. | Dentist | 9225 Manchester Rd Ste 201, Saint Louis, MO 63144-2640 | 2006-08-04 |
| 1598262263 | Michael J Smoljan | Dentist | 777 S New Ballas Rd Ste 201w, Saint Louis, MO 63141-8717 | 2018-04-10 |
| 1275082174 | Andrew Martens | Dentist | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2016-10-03 |
| 1003211137 | Timothy Maher | Dentist | 10777 Sunset Office Dr Ste 100, Saint Louis, MO 63127-1019 | 2014-10-31 |
| 1346598661 | Byron Duvall Dds LLC | Dentist | 2600 Chouteau Ave, Saint Louis, MO 63103-3013 | 2012-08-16 |
| 1578723292 | Daniel Allan Dunbar | Dentist | 9225 Manchester Rd, Ste. 201, Saint Louis, MO 63144-2640 | 2008-06-16 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63129 |
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| 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.