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Contact Information

CHARLES W CLARKE, DDS
4121 UNION RD
STE 215
SAINT LOUIS, MO63129-1070
 Phone: 314-894-5600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for CHARLES W CLARKE · (Male)

NPI # 1134290323
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MO License # DE015629
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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