CLARK FAMILY DENTISTRY NPI 1548571078

NPI Information

  • NPI: 1548571078
  • Provider Name: CLARK FAMILY DENTISTRY
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Other Name: KIRKLAND W. CLARK, III, D.M.D.
  • Address: 630 LAUREL ST
    ORANGEBURG, SC
    ZIP 29115
  • Phone: (803) 534-5550

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NPI Details

CLARK FAMILY DENTISTRY is a general practice dentist in Orangeburg, SC. 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. CLARK FAMILY DENTISTRY NPI is 1548571078. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Kirkland W. Clark, Iii, D.m.d..

The provider's business location address is:

630 LAUREL ST
ORANGEBURG, SC
ZIP 29115-835
Phone: (803) 534-5550
Fax: (803) 534-3963

The provider's authorized official is Kirkland Woodruff Clark .
The authorized official title is Owner/dentist and has the following contact phone number (803) 534-5550.

The enumeration date for this NPI number is 6/30/2010 and was last updated on 6/30/2010.

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 Practice4457SOUTH CAROLINAYes

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: 11/21/2025

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