DR. MIKE L. CLARK FAMILY DENTISTRY NPI 1760655005

NPI Information

NPI: 1760655005
Provider Name: DR. MIKE L. CLARK FAMILY DENTISTRY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1012 S 40TH AVE
YAKIMA, WA
ZIP 98908
Phone: (509) 575-0419
Get Directions

DR. MIKE L. CLARK FAMILY DENTISTRY is a dental clinic center in Yakima, WA. DR. MIKE L. CLARK FAMILY DENTISTRY NPI is 1760655005. The provider is registered as an organization entity type.

The provider's business location address is:

1012 S 40TH AVE
YAKIMA, WA
ZIP 98908-804
Phone: (509) 575-0419
Fax: (509) 966-6595

The provider's authorized official is Betsy M Ward .
The authorized official title is Office Manager and has the following contact phone number (509) 575-0419.

The enumeration date for this NPI number is 4/8/2008 and was last updated on 4/8/2008.

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
1	261QD0000X	Clinic/Center	Dental	DE00010004	WASHINGTON	Yes

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: 4/28/2024

NPI Synchronization or Removal

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