Chad Michael Clark, DDS is a student in an organized health care education training program in Cheyenne, WY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Chad Michael Clark, DDS NPI is 1952050924. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5211 YELLOWSTONE RD STE 1
CHEYENNE, WY
ZIP 82009-790
Phone: (307) 634-7633
The enumeration date for this NPI number is 3/18/2022 and was last updated on 3/27/2022.