NPPES file of Aug 9, 2026

Charlie E. Clark, DMD

Dentist · Surprise, AZ

Charlie E. Clark, DMD is a dentist with a practice address in Surprise, Arizona, and NPI 1417103482, issued on Aug 11, 2008. Check the license (Arizona D7793, as entered in NPPES) with the Arizona board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417103482
Name
Charlie E. Clark
Credential
DMD
Primary taxonomy
Dentist 122300000X
License numbers
D7793 AZ
6303-15 WI
Self-reported in NPPES; status is on the state search
Practice location
15264 W Brookside LN, Surprise, AZ 85374
Phone
(623) 474-3975
Enumerated
Aug 11, 2008
Record last updated
Aug 4, 2009 (not updated in 17 years: call before relying on the address or phone)
Fax
(623) 474-3198
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Verify Charlie E. Clark in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Arizona board licenses this profession
    Search for license D7793    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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36 dentist records list a practice address in Surprise

They are 36 of the 2,121 NPPES records with a practice address in Surprise, and 1,928 dentist records in Arizona. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 36 in Surprise → All 1,928 in Arizona → Every provider in Surprise →

Other dentist records in Arizona

  1. Osama AbadiTucson, AZ1679903645
  2. Kathleen Abaie, DMDPhoenix, AZ1629451711
  3. Keri Abbott, DDSPhoenix, AZ1841711579
  4. Mouhammed Abdulrazzak, D.D.S.Scottsdale, AZ1518164383
  5. Payam Abedi, D.D.S.Scottsdale, AZ1376524942
  6. Melvin AbrahamTucson, AZ1396467791
  7. Leina Abraham-Lalani, DDSGilbert, AZ1881608792
  8. Aram Abramian, DDSTucson, AZ1538386792
  9. Jefrey Abramowitz, DDSFlagstaff, AZ1326004441
  10. Don Acomb, DDSTucson, AZ1336165422

Common questions

What is Charlie E. Clark, DMD's NPI number?

Charlie E. Clark, DMD's National Provider Identifier (NPI) is 1417103482, issued on Aug 11, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Charlie E. Clark, DMD located?

The NPPES record lists a practice address at 15264 W Brookside LN, Surprise, AZ, 85374. Phone: (623) 474-3975. Providers update this record themselves, so call before visiting.

How can I verify Charlie E. Clark, DMD's license?

NPPES lists Arizona license number D7793, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.