ANNE CAMPBELL CLARK DDS NPI 1972289759

NPI Information

  • NPI: 1972289759
  • Provider Name: ANNE CAMPBELL CLARK, DDS
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 575 RILEY HOSPITAL DR SUITE 4205
    INDIANAPOLIS, IN
    ZIP 46202
  • Phone: (317) 944-9604

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NPI Details

Anne Campbell Clark, DDS is a student in an organized health care education training program in Indianapolis, IN. 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. Anne Campbell Clark, DDS NPI is 1972289759. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

575 RILEY HOSPITAL DR SUITE 4205
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 944-9604

The NPI 1972289759 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/26/2023 and was last updated on 6/26/2023.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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: 3/30/2025

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