CHARLES MILTON CLARK (NPI# 1346381886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346381886 |
Entity Type | Individual |
Full Name | CHARLES MILTON CLARK |
Credential | DMD |
Practice Address |
918 Holly St Chesterfield SC 29709 |
Mailing Address |
Po Box 70 Chesterfield SC 29709 |
Practice Telephone | 8436232053 |
Mailing Telephone | 8436232053 |
Enumeration Date | 2007-02-09 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 1921 | SC | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | Z19212 | 05 |
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 |
1083866222 | Charles Larry Clark Jr. | Dentist | 2415 Gillionville Rd, Albany, GA 31707-3022 | 2008-10-21 |
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 |
Street Address |
918 HOLLY ST |
City | CHESTERFIELD |
State | SC |
Zip Code | 29709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457369308 | Charles M Clark Dmd Pa | Dentist | 918 Holly St, Chesterfield, SC 29709 | 2006-08-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255964433 | Andrea Jean Horn | Counselor | 207 Perry Wiley Way, Chesterfield, SC 29709 | 2020-02-17 |
1851639207 | Jennifer Fuentes Perez | Psychologist | 207 Commerce Drive, Chesterfield, SC 29709 | 2013-01-18 |
1114068301 | Turning Point Boys Home, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3184 Hunts Mill Road, Chesterfield, SC 29709 | 2007-02-09 |
1083752505 | William Luke Perdue Sr. | Dentist | 220 South Craig St, Chesterfield, SC 29709 | 2007-02-05 |
1497830392 | State of South Carolina | Public Health or Welfare | 203 North Page Street, Chesterfield, SC 29709 | 2006-10-26 |
1619089729 | Bonnie J Cundiff | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2006-08-31 |
1730291857 | Gregory Lee Demby | Counselor | 207 Commerce Avenue, Tri County Mhc, Chesterfield, SC 29709 | 2006-08-31 |
1669023065 | Tonia Michelle Mcdonald | Counselor | 207 Commerce Ave., Chesterfield, SC 29709 | 2019-09-26 |
1437705431 | Madyson Elizabeth Scott | Counselor | 207 Commerce Ave, Chesterfield, SC 29709 | 2019-08-15 |
1477109346 | Tanganyika Onyema Wright | Counselor | 207 Commerce Drive, Chesterfield, SC 29709 | 2019-08-15 |
Find all providers in zip 29709 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316305352 | Sung Ho Kim | Dentist | 1001 Chesterfield Pkwy E Ste 202, Chesterfield, MO 63017-2167 | 2016-02-05 |
1093185910 | Roman Sadikoff Pllc | Dentist | 50475 Gratiot Ave Ste 4, Chesterfield, MI 48051-3128 | 2015-10-05 |
1588072391 | Paul Douglas Edgerley | Dentist | 14377 Woodlake Dr Ste 206, Chesterfield, MO 63017-5735 | 2014-07-24 |
1578863403 | Thomas Andrew Conner | Dentist | 9510 Iron Bridge Rd, Suite 100, Chesterfield, VA 23832-6400 | 2010-10-26 |
1841509767 | Roger Kirk Zacher | Dentist | 383 Shetland Valley Ct., Chesterfield, MO 63005 | 2010-09-27 |
1316100472 | Jonathan W Silva | Dentist | 13463 Olive Blvd, Chesterfield, MO 63017-3166 | 2008-07-08 |
1013176973 | Robert Emil Beck | Dentist | 2319 Westpar Dr, Chesterfield, MO 63017-7365 | 2008-06-05 |
1124232830 | Scott Mahlin | Dentist | 1748 Clarkson Rd, Chesterfield, MO 63017-4976 | 2007-05-10 |
1750509212 | Randy L Kohn | Dentist | 34121 23 Mile Rd, Chesterfield, MI 48047-2077 | 2007-04-23 |
1447373501 | Albert T Sasala | Dentist | 9856 Lori Rd, Suite 100, Chesterfield, VA 23832-6623 | 2007-04-06 |
Find all providers in CHESTERFIELD |
City | CHESTERFIELD |
Zip Code | 29709 |
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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.