Michael D. Clark, DDS, PA

General Practice Dentistry · Pine Bluff, AR

Organization Active NPI

NPI number 1316383821

Practice location

1616 S Cherry St
Pine Bluff, AR 71601-6227
Phone
(870) 534-2151

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NPI record

NPI
1316383821
Entity type
Organization (Type 2)
Enumeration date
May 13, 2013
Last updated
May 13, 2013
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2898 AR

Authorized official

Name
Dr. Michael Clark
Title
Owner
Phone
(870) 534-2151

About Michael D. Clark, DDS, PA

Michael D. Clark, DDS, PA is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1616 S Cherry St, Pine Bluff, AR 71601-6227. The NPI number 1316383821 was assigned on May 13, 2013 and the record was last updated on May 13, 2013.

Michael D. Clark, DDS, PA lists a license in the registry: #2898 (AR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Michael Clark, Owner.

Frequently asked questions

What is the NPI number of Michael D. Clark, DDS, PA?

The NPI number is 1316383821.

What is the phone number of Michael D. Clark, DDS, PA?

The phone number listed for the practice location is (870) 534-2151.

Where is Michael D. Clark, DDS, PA located?

1616 S Cherry St, Pine Bluff, AR 71601-6227.

What is the taxonomy code for Michael D. Clark, DDS, PA?

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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