Clarke, Charles William

Clarke, Charles William is an individual health care provider with primary practice located at 4121 Union Rd Ste 215, Saint Louis MO 63129-1070. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Clarke, Charles William can be contacted via phone (314) 894-5600.

Contact Information

Primary practice address
4121 Union Rd Ste 215 Saint Louis MO 63129-1070
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DE015629 Missouri

Profile Details

NPI number 1134290323
LBN Legal business name Clarke, Charles William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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