DR. Grace Xinxing Clark, DDS is a general practice dentist in Fort Wayne, IN. 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. Grace Xinxing Clark, DDS NPI is 1407360910. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4716 ILLINOIS RD STE 101
FORT WAYNE, IN
ZIP 46804-123
Phone: (260) 432-7970
The NPI 1407360910 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 11/20/2017 and was last updated on 1/12/2018.