Albert Baxter Clark, D.D.S.

General Practice Dentistry · Provo, UT

Individual Active NPI

NPI number 1477571677

Practice location

1355 N University Ave
Suite 320
Provo, UT 84604-2721
Phone
(801) 375-1750
Fax
(801) 375-6365

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NPI record

NPI
1477571677
Entity type
Individual (Type 1)
Enumeration date
July 17, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 139191-9922 UT

About Dr. Clark

Albert Baxter Clark, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1355 N University Ave, Suite 320, Provo, UT 84604-2721. The NPI number 1477571677 was assigned on July 17, 2006 and the record was last updated on July 8, 2007.

Dr. Clark lists a license in the registry: #139191-9922 (UT) 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 Albert Baxter Clark, D.D.S.?

The NPI number is 1477571677.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (801) 375-1750.

Where is Dr. Clark located?

1355 N University Ave, Suite 320, Provo, UT 84604-2721.

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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