DR. Shane Thomas Clark, DMD is an endodontics dentist in Albuquerque, NM. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Shane Thomas Clark, DMD NPI is 1003220203. 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:
2800 COORS BLVD NW
ALBUQUERQUE, NM
ZIP 87120-204
Phone: (505) 352-1166
The NPI 1003220203 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 6/16/2014 and was last updated on 9/26/2015.