Devin Clark

Dentist · Winlock, WA

Individual Active NPI

NPI number 1952893026

Practice location

617 Cemetery Rd
Winlock, WA 98596-9303
Phone
(360) 785-4755

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NPI record

NPI
1952893026
Entity type
Individual (Type 1)
Enumeration date
June 4, 2018
Last updated
January 7, 2020
Certified
January 7, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DE61007637 WA
Dentist 122300000X 11032 NC

Mailing address

3 E Shore Dr
Asheville, NC 28805-2201

Other practice locations (1)

  • 55 Morgan St, Marion, NC 28752-4935 · (828) 652-6967

About Devin Clark

Devin Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 617 Cemetery Rd, Winlock, WA 98596-9303. The NPI number 1952893026 was assigned on June 4, 2018 and the record was last updated on January 7, 2020.

Devin Clark lists 2 licenses in the registry: #DE61007637 (WA) for Dentist; #11032 (NC) 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 Devin Clark?

The NPI number is 1952893026.

What is the phone number of Devin Clark?

The phone number listed for the practice location is (360) 785-4755.

Where is Devin Clark located?

617 Cemetery Rd, Winlock, WA 98596-9303.

What is the taxonomy code for Devin Clark?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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.