Robert S. Clark, DDS

General Practice Dentistry · Pembroke, MA

Individual Active NPI

NPI number 1710909536

Practice location

31 Schoosett St
Suite 101
Pembroke, MA 02359
Phone
(781) 826-7577
Fax
(781) 826-8970

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NPI record

NPI
1710909536
Entity type
Individual (Type 1)
Enumeration date
July 24, 2006
Last updated
October 18, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 13190 MA

About Dr. Clark

Robert S. Clark, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 31 Schoosett St, Suite 101, Pembroke, MA 02359. The NPI number 1710909536 was assigned on July 24, 2006 and the record was last updated on October 18, 2007.

Dr. Clark lists a license in the registry: #13190 (MA) 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 Robert S. Clark, DDS?

The NPI number is 1710909536.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (781) 826-7577.

Where is Dr. Clark located?

31 Schoosett St, Suite 101, Pembroke, MA 02359.

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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