C. W. CLARKE DDS PC NPI 1689745879

NPI Information

NPI: 1689745879
Provider Name: C. W. CLARKE DDS PC

Doing Business As: ADVANCED ENDODONTICS

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4121 UNION RD
STE 215
SAINT LOUIS, MO
ZIP 63129
Phone: (314) 894-5600
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C. W. CLARKE DDS PC is a dental clinic center in Saint Louis, MO. C. W. CLARKE DDS PC NPI is 1689745879. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Endodontics.

The provider's business location address is:

4121 UNION RD
STE 215
SAINT LOUIS, MO
ZIP 63129-070
Phone: (314) 894-5600

The provider's authorized official is Charles William Clarke .
The authorized official title is President and has the following contact phone number (314) 894-5600.

The enumeration date for this NPI number is 11/11/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DE015629	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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