DONALD E. CLARKE D.D.S. INC. NPI 1083362537

NPI Information

NPI: 1083362537
Provider Name: DONALD E. CLARKE, D.D.S., INC.

Doing Business As: DENTAL SOURCE OF CALIFORNIA

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
25005 BLUE RAVINE RD STE 100
FOLSOM, CA
ZIP 95630
Phone: (916) 600-3719
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DONALD E. CLARKE, D.D.S., INC. is a dental clinic center in Folsom, CA. DONALD E. CLARKE, D.D.S., INC. NPI is 1083362537. The provider is registered as an organization entity type.
The provider Is Doing Business As Dental Source Of California.

The provider's business location address is:

25005 BLUE RAVINE RD STE 100
FOLSOM, CA
ZIP 95630-706
Phone: (916) 600-3719

The provider's authorized official is Donald Clarke .
The authorized official title is President Of Corporation and has the following contact phone number (916) 487-0117.

The enumeration date for this NPI number is 3/14/2022 and was last updated on 5/16/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

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: 5/5/2024

NPI Synchronization or Removal

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