TERRE HAUTE ENDODONTICS PC NPI 1730116112

NPI Information

  • NPI: 1730116112
  • Provider Name: TERRE HAUTE ENDODONTICS PC
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Former Legal Business Name: DR PATRICIA H CLARK
  • Address: 221 S 19TH ST
    TERRE HAUTE, IN
    ZIP 47807
  • Phone: (812) 235-1598

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NPI Details

TERRE HAUTE ENDODONTICS PC is an endodontics dentist in Terre Haute, IN. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. TERRE HAUTE ENDODONTICS PC NPI is 1730116112. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Dr Patricia H Clark.

The provider's business location address is:

221 S 19TH ST
TERRE HAUTE, IN
ZIP 47807-129
Phone: (812) 235-1598
Fax: (812) 235-1999

The provider's authorized official is Patricia H Clark .
The authorized official title is Dr Patricia H Clark and has the following contact phone number (812) 235-1598.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 7/23/2008.

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
11223E0200XDentistEndodonticsYes

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
1100065720AMEDICAIDINDIANA

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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