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GOOD HOPE DENTAL CENTER PC NPI 1619193216


NPI Information

NPI: 1619193216
Provider Name: GOOD HOPE DENTAL CENTER PC

Doing Business As: CLARK FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
203 COMMERCE CIR SW STE B
DECATUR, AL
ZIP 35601
Phone: (256) 350-8182
Get Directions

GOOD HOPE DENTAL CENTER PC is a general practice dentist in Decatur, AL. 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. GOOD HOPE DENTAL CENTER PC NPI is 1619193216. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Clark Family Dentistry.

The provider's business location address is:

203 COMMERCE CIR SW STE B
DECATUR, AL
ZIP 35601-840
Phone: (256) 350-8182
Fax: (256) 350-3232

The provider's authorized official is Leon Malcolm Clark .
The authorized official title is President and has the following contact phone number (256) 350-8182.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice4499ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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