Robert Wallace Clark in Scottsdale - Dentist
Robert Wallace Clark - NPI 1780786632
Robert Wallace Clark is a Dentist in Scottsdale, Arizona. Robert Wallace Clark practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert Wallace Clark is 1780786632. The last update date is 2007-07-08.
Robert Wallace Clark's current location address is 3666 N Miller Rd, Scottsdale, Arizona. You can contact this provider via phone number 4809949485 and fax number 4804813800. The mailing address for Robert Wallace Clark is 3666 N Miller Rd, Scottsdale, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Robert Wallace Clark |
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Address | 3666 N Miller Rd, Scottsdale, Arizona |
Phone Number | 4809949485 |
Fax Number | 4804813800 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1780786632 |
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Provider Enumeration Date | 2006-09-02 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3666 N Miller Rd |
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City | Scottsdale |
State | Arizona (AZ) |
Post Code | 852514599 |
Phone Number | 4809949485 |
Fax Number | 4804813800 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 6575 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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955940 | AZ | AHCCCS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Robert Wallace Clark by the Centers for Medicare & Medicaid Services?
The Robert Wallace Clark has been issued the NPI (National Provider Identifier) 1780786632 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Robert Wallace Clark?
The Robert Wallace Clark is situated at 3666 N Miller Rd, in the city of Scottsdale, state of AZ, with the zip code 852514599.
What is the Robert Wallace Clark's specialty and taxonomy code?
The Robert Wallace Clark's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780786632 to Robert Wallace Clark?
The Centers for Medicare & Medicaid Services originally issued the 1780786632 to Robert Wallace Clark on 2006-09-02.
As of what date was the information pertaining to Robert Wallace Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Robert Wallace Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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