Individual provider · Type 1 NPI

Charles Lee Clark, DDS

Oral and Maxillofacial Surgery (Dentist) · San Antonio, TX

NPI number 1659331650 Active

Practice location

9150 Huebner Rd Ste 125
San Antonio, TX 78240-1658

Call (210) 614-3915 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X18816 (TX)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1659331650

Charles Lee Clark, DDS's National Provider Identifier is 1659331650, issued on Mar 24, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Antonio, TX. The record was last updated on Sep 24, 2025.