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

Dr. Charles Larry Clark Jr., DMD

Individual provider General Practice Dentistry · NPI 1083866222

Dr. Charles Larry Clark Jr., DMD is a General Practice Dentistry in Albany, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2008
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2415 Gillionville Rd
Albany, GA 31707-3022
Phone: (229) 432-6751
Fax: (229) 432-5918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN013577 (GA)

Record details

NPI number1083866222
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 21, 2008
Last updated in NPPESOctober 21, 2008

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