Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles Clark

Individual provider Pediatric Dentistry · NPI 1346133287

Dr. Charles Clark is a Pediatric Dentistry in East Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2025

Practice location Address checks out

20 Maverick Sq
East Boston, MA 02128-2335
Phone: (617) 568-4464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 1857730 (MA)

Record details

NPI number1346133287
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 30, 2025
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025
Mailing address1282 Boylston St Unit 1023, Boston, MA 02215-4462

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