Edward Mark Clark, DDS

General Practice Dentistry · Cheyenne, WY

Individual Active NPI

NPI number 1205843604

Practice location

5211 Yellowstone Rd
Ste # 1
Cheyenne, WY 82009-4761
Phone
(307) 634-7633
Fax
(307) 634-7664

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NPI record

NPI
1205843604
Entity type
Individual (Type 1)
Enumeration date
August 1, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 750 WY

About Dr. Clark

Edward Mark Clark, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5211 Yellowstone Rd, Ste # 1, Cheyenne, WY 82009-4761. The NPI number 1205843604 was assigned on August 1, 2006 and the record was last updated on July 8, 2007.

Dr. Clark lists a license in the registry: #750 (WY) 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 Edward Mark Clark, DDS?

The NPI number is 1205843604.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (307) 634-7633.

Where is Dr. Clark located?

5211 Yellowstone Rd, Ste # 1, Cheyenne, WY 82009-4761.

What is the taxonomy code for Dr. Clark?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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