Eric Joseph Clark is a Dentist in Blythe, California. Eric Joseph Clark practices all healthcare services and medical treatments related to Dentist. The NPI Number for Eric Joseph Clark is 1083824478. The last update date is 2007-07-08.
Eric Joseph Clark's current location address is 500 N Broadway, Blythe, California. You can contact this provider via phone number 7609220266 and fax number 7609221066. The mailing address for Eric Joseph Clark is 500 N Broadway, Blythe, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Joseph Clark |
|---|---|
| Address | 500 N Broadway, Blythe, California |
| Phone Number | 7609220266 |
| Fax Number | 7609221066 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1083824478 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 500 N Broadway |
|---|---|
| City | Blythe |
| State | California (CA) |
| Post Code | 922251279 |
| Phone Number | 7609220266 |
| Fax Number | 7609221066 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 38407 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| B3840701 | CA | DENTIST |
Post Comment/ Review Below
What is the unique identifier code issued to Eric Joseph Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Eric Joseph Clark has been assigned the NPI (National Provider Identifier) 1083824478. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Eric Joseph Clark's facilities are geographically located?
The facilities of Eric Joseph Clark are physically situated at the following location: 500 N Broadway, Blythe, CA, 922251279.
What is the Eric Joseph Clark's area of specialization and corresponding taxonomy classification?
The Eric Joseph Clark's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did Eric Joseph Clark receive its 1083824478 assignment?
The Eric Joseph Clark was assigned its 1083824478 on 2007-05-23, which is the date when this unique identifier was issued to the organization.
When was the information related to Eric Joseph Clark most recently updated or refreshed?
The details pertaining to the Eric Joseph Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.