Christopher Clark, DMD

General Practice Dentistry · Collierville, TN

Individual Active NPI

NPI number 1205494127

Practice location

60 Market Center Dr
Collierville, TN 38017-7077
Phone
(901) 850-7338

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NPI record

NPI
1205494127
Entity type
Individual (Type 1)
Enumeration date
June 5, 2019
Last updated
June 11, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 11067 TN
General Practice Dentistry 1223G0001X 4050-19 MS

Mailing address

PO Box 257
Carrollton, MS 38917-0257
Phone
(901) 484-9001

Other practice locations (1)

  • 228 Main St, Nettleton, MS 38858-6012 · (662) 963-7338

About Dr. Clark

Christopher Clark, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 60 Market Center Dr, Collierville, TN 38017-7077. The NPI number 1205494127 was assigned on June 5, 2019 and the record was last updated on June 11, 2019.

Dr. Clark lists 2 licenses in the registry: #11067 (TN) for General Practice Dentistry; #4050-19 (MS) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Christopher Clark, DMD?

The NPI number is 1205494127.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (901) 850-7338.

Where is Dr. Clark located?

60 Market Center Dr, Collierville, TN 38017-7077.

What is the taxonomy code for Dr. Clark?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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