Search › Minnesota › 1223G0001X
Charles Clark, DDS
NPI 1558408930 · on the registry since 2007 · sole proprietor
Practice
- Address
- 444 Cedar St Ste 208
Saint Paul, MN 55101 - Phone
- (651) 222-1201
- Fax
- (651) 760-8633
- Organisation at this address
- Capitol Dental Center Plc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 302 S Pine St, Grantsburg, WI
- 7425 Main St W, Webster, WI
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- WI, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota