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CLARK FAMILY DENTISTRY NPI 1891896148


NPI Information

NPI: 1891896148
Provider Name: CLARK FAMILY DENTISTRY
Classification: Dental Hygienist - 124Q00000X
Entity Type: Organization
Address:
639 LOTUS DR N
MANDEVILLE, LA
ZIP 70471
Phone: (985) 624-5449
Get Directions

CLARK FAMILY DENTISTRY is a dental hygienist in Mandeville, LA. The provider is an individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. CLARK FAMILY DENTISTRY NPI is 1891896148. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

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

The provider's authorized official is Paul A Clark .
The authorized official title is Vp and has the following contact phone number (985) 624-5449.

The enumeration date for this NPI number is 9/26/2006 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
1124Q00000XDental HygienistYes
21223G0001XDentistGeneral PracticeLA4476LOUISIANAX

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
1A2217OTHERBCBS OF LA
21844764MEDICAIDLOUISIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.