Edward Mark Clark, DDS is a general practice dentist in Cheyenne, WY. The provider is 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. Edward Mark Clark, DDS NPI is 1205843604. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5211 YELLOWSTONE RD
STE # 1
CHEYENNE, WY
ZIP 82009-761
Phone: (307) 634-7633
Fax: (307) 634-7664
The NPI 1205843604 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 8/1/2006 and was last updated on 7/8/2007.