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ROBERT S CLARK DDS NPI 1306027529


NPI Information

NPI: 1306027529
Provider Name: ROBERT S CLARK DDS
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
31 SCHOOSETT STREET
SUITE 101
PEMBROKE, MA
ZIP 02359
Phone: (781) 826-7577
Get Directions

ROBERT S CLARK DDS is a general practice dentist in Pembroke, MA. 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. ROBERT S CLARK DDS NPI is 1306027529. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

31 SCHOOSETT STREET
SUITE 101
PEMBROKE, MA
ZIP 02359
Phone: (781) 826-7577
Fax: (781) 826-8970

The provider's authorized official is Robert Steven Clark .
The authorized official title is Owner Dentist and has the following contact phone number (781) 826-7577.

The enumeration date for this NPI number is 11/15/2007 and was last updated on 11/15/2007.


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
11223G0001XDentistGeneral Practice13190MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10248126MEDICAIDMASSACHUSETTS

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

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