Anthony Clark, D.D.S.

Dentist · Fenton, MO

Individual Active NPI

NPI number 1164806055

Practice location

733 Oakwood Dr
Fenton, MO 63026-3535
Phone
(636) 349-1070

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NPI record

NPI
1164806055
Entity type
Individual (Type 1)
Enumeration date
July 10, 2015
Last updated
July 10, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2015021079 MO

Mailing address

55 Thornhill Dr
Wildwood, MO 63025-1216
Phone
(314) 330-2277

About Dr. Clark

Anthony Clark, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 733 Oakwood Dr, Fenton, MO 63026-3535. The NPI number 1164806055 was assigned on July 10, 2015 and the record was last updated on July 10, 2015.

Dr. Clark lists a license in the registry: #2015021079 (MO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Anthony Clark, D.D.S.?

The NPI number is 1164806055.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (636) 349-1070.

Where is Dr. Clark located?

733 Oakwood Dr, Fenton, MO 63026-3535.

What is the taxonomy code for Dr. Clark?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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