Alfonso Clark, DDS

Dentist · Phila, PA

Individual Active NPI

NPI number 1972665826

Practice location

1344 66TH Ave
Phila, PA 19126
Phone
(215) 224-7300
Fax
(215) 924-7450

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NPI record

NPI
1972665826
Entity type
Individual (Type 1)
Enumeration date
December 15, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DS021889L PA

Mailing address

1344 66TH Ave
Philadelphia, PA 19126
Phone
(215) 224-7300
Fax
(215) 924-7450

About Dr. Clark

Alfonso Clark, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1344 66TH Ave, Phila, PA 19126. The NPI number 1972665826 was assigned on December 15, 2006 and the record was last updated on July 8, 2007.

Dr. Clark lists a license in the registry: #DS021889L (PA) 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 Alfonso Clark, DDS?

The NPI number is 1972665826.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (215) 224-7300.

Where is Dr. Clark located?

1344 66TH Ave, Phila, PA 19126.

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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