C. W. CLARKE DDS PC (NPI# 1689745879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689745879 |
| Entity Type | Organization |
| Organization Name | C. W. CLARKE DDS PC |
| Other Organization Name | ADVANCED ENDODONTICS |
| Practice Address |
4121 Union Rd Ste 215 Saint Louis MO 63129-1070 |
| Practice Telephone | 3148945600 |
| Mailing Telephone | 3148945600 |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHARLES WILLIAM CLARKE (PRESIDENT) |
| Authorized Official Telephone | 3148945600 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DE015629 | MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Advanced Endodontics | Doing Business As Name - Organization |
| Street Address |
4121 UNION RD STE 215 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63129-1070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134290323 | Charles William Clarke | Dentist | 4121 Union Rd, Ste 215, Saint Louis, MO 63129-1070 | 2006-11-11 |
| 1093269003 | Lakeside Behavioral Health, LLC | Psychiatry & Neurology | 4121 Union Rd, Suite 201, Saint Louis, MO 63129-1070 | 2016-08-08 |
| 1811195035 | Sheila Barnes | Social Worker | 4121 Union Rd, Suite 201, Saint Louis, MO 63129-1070 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
| 1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
| 1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
| 1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
| Find all providers in zip 63129 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835828 | Rem Dds, LLC | Clinic/Center | 10000 Watson Rd Ste 2mm, Saint Louis, MO 63126-1848 | 2020-09-10 |
| 1003434234 | Jason L Allen Dmd LLC | Clinic/Center | 5147 Daggett Ave, Saint Louis, MO 63110-3009 | 2020-07-14 |
| 1538630629 | A Hallie Lillmars Dds LLC | Clinic/Center | 8720 Big Bend Blvd Ste A, Saint Louis, MO 63119-3730 | 2018-12-16 |
| 1396215273 | Aaron J Cregger Dds LLC | Clinic/Center | 2821 N Ballas Rd Ste 260, Saint Louis, MO 63131-2378 | 2018-12-04 |
| 1417477985 | Midwest Mobile Dentistry LLC | Clinic/Center | 1 N Brentwood Blvd Ste 1000, Saint Louis, MO 63105-3937 | 2017-06-26 |
| 1144686320 | Raymond J Skosky, Dds,llc | Clinic/Center | 5530 Virginia Ave, Saint Louis, MO 63111-1939 | 2016-01-04 |
| 1437456001 | Plaza Health Dentistry | Clinic/Center | 9420 Watson Rd, Saint Louis, MO 63126-1529 | 2011-02-17 |
| 1053467746 | St. Louis University | Clinic/Center | 3320 Rutger St, Saint Louis, MO 63104-1122 | 2007-01-26 |
| 1780797308 | Jack M. Marincel, D.d.s., P.C. | Clinic/Center | 6060 Telegraph Rd, Suite H, Saint Louis, MO 63129-4762 | 2006-08-16 |
| 1033617386 | Carestl Health | Clinic/Center | 4500 Pope Ave, Saint Louis, MO 63115 | 2018-01-31 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63129 |
Please comment or provide details below to improve the information on C. W. CLARKE DDS PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.