DR. Cleophus Benson Clark, DDS is a general practice dentist in Alexandria, VA. 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. DR. Cleophus Benson Clark, DDS NPI is 1114022720. 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:
5695 KING CENTRE DR
SUITE B100
ALEXANDRIA, VA
ZIP 22315-744
Phone: (703) 719-9824
Fax: (703) 719-6206
The NPI 1114022720 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 9/14/2006 and was last updated on 7/8/2007.