Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558408930 Individual Practitioner Male Practitioner

Dr. Charles Lawrence Clark , DDS

Dentist - General Practice • Saint Paul, MN

Professional Overview & Biography Verified Profile Summary

Dr. Charles Clark, DDS is a registered healthcare professional specializing in Dentist - General Practice in Saint Paul, MN. Practice services are available at 444 CEDAR ST STE 208 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

444 Cedar St Ste 208

Saint Paul, MN 551012186

Telephone 6512221201
Fax 6517608633
Associated Practice Facility / Clinic
🏢 Capitol Dental Center Plc Facility NPI 1659028801

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Saint Paul, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
122 Specialists

Practicing in Saint Paul, MN (2262 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

CMS Verified: 2025-03-02
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D8160

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WI 5001509-15

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.

Secondary Practice Locations

302 S Pine St

Grantsburg, WI 548407930

Phone: 7154632882

7425 Main St W

Webster, WI 548938207

Phone: 7158664204

Practice Associates & Co-Workers

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

2 Associated Practitioners
Joanne Wright , LDA

Dental Assistant

NPI 1508305731
Dr. Michael Schafhauser , DDS

Dentist - General Practice

NPI 1912964800

Doctor of Dental Surgery

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location March 02, 2025

Registered at 444 CEDAR ST STE 208, SAINT PAUL, MN 551012186 (Tel: 6512221201)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2025

Dentist (License #5001509-15 in WI)

NPI Profile Active May 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 17, 2017

Registered at 13961 60TH ST N, STILLWATER, MN 550821053 (Tel: 6514392600)

📍
Updated Business Mailing Address May 17, 2017

Registered at PO BOX 2054, INVER GROVE HEIGHTS, MN 550768054 (Tel: (507) 421-0610)

👤
Provider Name / Credentials Updated May 17, 2017

Recorded as CHARLES CLARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2017

Dentist (License #D8160 in MN)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5870 BLACKSHIRE PATH, INNER GROVE HEIGHTS, MN 55076 (Tel: 6515520404)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5870 BLACKSHIRE PATH, INNER GROVE HEIGHTS, MN 55076 (Tel: 6515520404)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES CLARK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D8160 in MN)

🟢
Initial NPI Registration & Enumeration February 01, 2007

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: 1558408930
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2007
Last Update: March 02, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 2054

Inver Grove Heights, MN 550768054

Phone: 5074210610

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.