Dr. Albert Clark DDS, PC

Dentist · Provo, UT

Organization Active NPI

NPI number 1972772853

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
1972772853
Entity type
Organization (Type 2)
Enumeration date
February 26, 2008
Last updated
February 26, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 139191-9922 UT

Authorized official

Name
Dr. Albert Baxter Clark, DDS
Title
President
Phone
(801) 375-1750

About Dr. Albert Clark DDS, PC

Dr. Albert Clark DDS, PC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1355 N University Ave, Suite 320, Provo, UT 84604-2721. The NPI number 1972772853 was assigned on February 26, 2008 and the record was last updated on February 26, 2008.

Dr. Albert Clark DDS, PC lists a license in the registry: #139191-9922 (UT) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Albert Baxter Clark, DDS, President.

Frequently asked questions

What is the NPI number of Dr. Albert Clark DDS, PC?

The NPI number is 1972772853.

What is the phone number of Dr. Albert Clark DDS, PC?

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

Where is Dr. Albert Clark DDS, PC located?

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

What is the taxonomy code for Dr. Albert Clark DDS, PC?

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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