DR. CHARLES CLARK
NPI 1346133287
Dentist - Pediatric Dentistry in East Boston, MA
NPI Status: Active since May 30, 2025
Contact Information
20 MAVERICK SQ
EAST BOSTON, MA
ZIP 02128
Phone: (617) 568-4464
- Individual
- Male
- Dentist
- Pediatric Dentistry
About CHARLES CLARK
This page provides the complete NPI Profile along with additional information for Charles Clark, a provider established in East Boston, Massachusetts with a medical specialization in Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1346133287 assigned on May 2025. The practitioner's primary taxonomy code is 1223P0221X with license number 1857730 (MA). The provider is registered as an individual and his NPI record was last updated May 2025.
- NPI
- 1346133287
- Provider Name
- DR. CHARLES CLARK
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 20 MAVERICK SQ EAST BOSTON, MA 02128
- Location Phone
- (617) 568-4464
- Mailing Address
- 1282 BOYLSTON ST UNIT 1023 BOSTON, MA 02215
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-30-2025
- Last Update Date
- 05-30-2025
- Code Navigator
A dentist like Charles Clark is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- License No.
- 1857730
- License State
- MA
- Taxonomy Description
- An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 4 | 6 | 1 | 3 | 3 | 2 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 2 | 3 | 6 | 2 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 2 + 3 + 6 + 2 + 1 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1346133287 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366981276 | TAMSEN BROWN MS, CGC Individual | Genetic Counselor, MS | 20 MAVERICK SQ EAST BOSTON, MA 02128 (617) 569-5800 |
| 1912576687 | ANDREA KASEGUMA FNP Individual | Nurse Practitioner (Family) | 20 MAVERICK SQ EAST BOSTON, MA 02128 (617) 569-5800 |
| 1982276903 | GABRIELLE MCPHEE Individual | Student in an Organized Health Care Education/Training Program | 20 MAVERICK SQ EAST BOSTON, MA 02128 (617) 569-5800 |
| 1083382014 | MR. JOSE LUIS DE RAMON III Individual | Psychologist (Counseling) | 20 MAVERICK SQ BOSTON, MA 02128 (305) 305-5140 |
| 1013681477 | DR. SUMATI BHALLA DDS Individual | Dentist (General Practice) | 20 MAVERICK SQ EAST BOSTON, MA 02128 (617) 569-5800 |
| 1558854836 | KAROL VANESSA DELGADO CNP Individual | Nurse Practitioner (Women's Health) | 20 MAVERICK SQ EAST BOSTON, MA 02128 (617) 569-5800 |
| 1184390924 | CLAIRE MARGARET MATHON CNP Individual | Nurse Practitioner (Family) | 20 MAVERICK SQ EAST BOSTON, MA 02128 (617) 569-5800 |
| 1558819441 | JULIA ALEXANDRA BURESH-KAPOOR CNP Individual | Nurse Practitioner (Family) | 20 MAVERICK SQ EAST BOSTON, MA 02128 (617) 569-5800 |
| 1013621598 | MAVERICK SPECIALTY RETAIL PHARMACY Organization | Pharmacy (Specialty Pharmacy) | 20 MAVERICK SQ EAST BOSTON, MA 02128 (617) 568-4781 |
| 1457064388 | BOSTON MEDICAL CENTER CORPORATION Organization | Pharmacy (Specialty Pharmacy) | 20 MAVERICK SQ EAST BOSTON, MA 02128 (617) 569-5800 |
| 1033801485 | KATHERINE HENAO-MARTINEZ CNP Individual | Nurse Practitioner (Family) | 20 MAVERICK SQ EAST BOSTON, MA 02128 (617) 569-5800 |
| 1225355142 | DR. MONICA LEE MENDIOLA M.D. Individual | Obstetrics & Gynecology | 20 MAVERICK SQ EAST BOSTON, MA 02128 (617) 569-5800 |
| 1467238899 | KATHERINE LOVE FNP-BC, DNP, RN Individual | Nurse Practitioner (Family) | 20 MAVERICK SQ EAST BOSTON, MA 02128 (617) 569-6800 |
| 1326494998 | RACHEL BLAKE MD Individual | Obstetrics & Gynecology | 20 MAVERICK SQ EAST BOSTON, MA 02128 (617) 569-5800 |
| 1346720109 | PAMELA GAYLE GHAREEB GUDINO MSN, FNP Individual | Nurse Practitioner (Family) | 20 MAVERICK SQ BOSTON, MA 02128 (617) 569-5800 |
| 1720330558 | MARIA KAFER BASTOS NP Individual | Nurse Practitioner | 20 MAVERICK SQ EAST BOSTON, MA 02128 (617) 569-5800 |
| 1578121000 | MS. SARAH ISABELLA WATLER MD Individual | Family Medicine | 20 MAVERICK SQ EAST BOSTON, MA 02128 (617) 569-5800 |
| 1255949327 | NEIGHBORHEALTH CORPORATION Organization | Pharmacy | 20 MAVERICK SQ EAST BOSTON, MA 02128 (617) 569-5800 |
| 1720604473 | LAUREN BARR MD Individual | Family Medicine | 20 MAVERICK SQ BOSTON, MA 02128 (617) 569-5800 |
| 1235817610 | ANDREW FERNANDEZ DDS Individual | Student in an Organized Health Care Education/Training Program | 20 MAVERICK SQ BOSTON, MA 02128 (617) 569-5800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346133287, enumerated in the NPI registry as an "individual" on May 30, 2025
The provider is located at 20 Maverick Sq East Boston, Ma 02128 and the phone number is (617) 568-4464
The provider's speciality is Dentist with taxonomy code 1223P0221X with a focus in Pediatric Dentistry
This NPI record was last updated on May 30, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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