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NPI · 1417103482 · NPPES-sourced

Dr. Charlie Clark DMD

ActiveDentist
NPI Number
1417103482
Type 1 · Individual
Taxonomy Code
122300000X
Contact
(623) 474-3975
License AZ · D7793
Last Updated
Enumerated
Primary practice addressAZ · 85374-3989
15264 W Brookside LnSurprise, AZ 85374-3989
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About this NPIWhat this record shows.

NPI 1417103482 is registered to Dr. Charlie Clark DMD, a Dentist practising at 15264 W Brookside Ln in Surprise, Arizona. Dentist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Charlie Clark DMD has been enumerated in the National Provider Identifier (NPI) registry since 2008.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Charlie Clark DMD accepts. To confirm in-network status with your specific health plan, contact Dr. Charlie Clark DMD directly at (623) 474-3975.

Frequently asked

Yes. NPI 1417103482 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dentist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (623) 474-3975.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Charlie Clark DMD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy122300000X
Last updated
Enumerated
StatusActive
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