Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083866222 Individual Practitioner Male Practitioner

Dr. Charles Larry Clark , DMD

Dentist - General Practice • Albany, GA

Professional Overview & Biography Verified Profile Summary

Dr. Charles Clark, DMD is a registered healthcare professional specializing in Dentist - General Practice in Albany, GA. Practice services are available at 2415 GILLIONVILLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2415 Gillionville Rd

Albany, GA 317073022

Telephone 2294326751
Fax 2294325918

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Albany, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
35 Specialists

Practicing in Albany, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN013577

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Jeffery Singleton , DMD

Dentist - General Practice

NPI 1124147608

Doctor of Dental Medicine

NPI 1154772085

Doctor of Dental Medicine

NPI 1437563475

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 21, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2008

Registered at 2415 GILLIONVILLE RD, ALBANY, GA 317073022 (Tel: 2294326751)

📍
Updated Business Mailing Address October 21, 2008

Registered at 2415 GILLIONVILLE RD, ALBANY, GA 317073022 (Tel: 2294326751)

👤
Provider Name / Credentials Updated October 21, 2008

Recorded as CHARLES CLARK, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2008

Dentist (License #DN013577 in GA)

🟢
Initial NPI Registration & Enumeration October 21, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083866222
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2008
Last Update: October 21, 2008
Sole Proprietor: Yes

Mailing Address

2415 Gillionville Rd

Albany, GA 317073022

Phone: 2294326751

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.