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CLARK FAMILY DENTISTRY NPI 1871627380


NPI Information

NPI: 1871627380
Provider Name: CLARK FAMILY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
639 LOTUS DR N
MANDEVILLE, LA
ZIP 70471
Phone: (985) 624-5449
Get Directions

CLARK FAMILY DENTISTRY is a general practice dentist in Mandeville, LA. 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 1871627380. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

639 LOTUS DR N
MANDEVILLE, LA
ZIP 70471-926
Phone: (985) 624-5449
Fax: (985) 674-0393

The provider's authorized official is Robert J. Clark .
The authorized official title is President and has the following contact phone number (985) 624-5449.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/22/2020.


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 Practice1495LOUISIANAYes

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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