Benjamin Allen Clark, DMD

Dentist · Durant, OK

Individual Active NPI

NPI number 1699180448

Practice location

1220 N Washington Ave
Durant, OK 74701-2120
Phone
(580) 745-5400

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NPI record

NPI
1699180448
Entity type
Individual (Type 1)
Enumeration date
June 30, 2014
Last updated
June 30, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 6633 OK

About Dr. Clark

Benjamin Allen Clark, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1220 N Washington Ave, Durant, OK 74701-2120. The NPI number 1699180448 was assigned on June 30, 2014 and the record was last updated on June 30, 2014.

Dr. Clark lists a license in the registry: #6633 (OK) 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 Benjamin Allen Clark, DMD?

The NPI number is 1699180448.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (580) 745-5400.

Where is Dr. Clark located?

1220 N Washington Ave, Durant, OK 74701-2120.

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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