Dr. Charlie E Clark is a Surprise, Arizona based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Charlie E Clark is D7793 for Dentistry in Arizona. His current practice location is 15264 W Brookside Ln, Surprise. Patients can reach him at 623-474-3975.
Dr. Charlie E Clark is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Charlie E Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Charlie E Clark
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
15264 W Brookside Ln, Surprise, Arizona, 85374-3989
Phone:
623-474-3975
Fax:
623-474-3198
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1417103482
NPI Enumeration Date:
11 Aug, 2008
NPI Last Update On:
04 Aug, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Charlie E Clark are as mentioned below.
License Number
Specialization
State
Status
D7793
Dentistry
Arizona
Primary
6303-15
Dentistry
Wisconsin
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
15264 W Brookside Ln, Surprise, Arizona
Zip:
85374-3989
Phone Number:
623-474-3975
Fax Number:
623-474-3198
Patients can reach Dr. Charlie E Clark at 15264 W Brookside Ln, Surprise, Arizona or can call to book an appointment on 623-474-3975. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.