Glen Thomas Clark in Los Angeles - Dentist
Glen Thomas Clark - NPI 1740339233
Glen Thomas Clark is a Dentist in Los Angeles, California. Glen Thomas Clark practices all healthcare services and medical treatments related to Dentist. The NPI Number for Glen Thomas Clark is 1740339233. The last update date is 2011-12-05.
Glen Thomas Clark's current location address is 925 W 34th St, Los Angeles, California. You can contact this provider via phone number 2137407405. The mailing address for Glen Thomas Clark is 925 W 34th St, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen Thomas Clark |
|---|---|
| Address | 925 W 34th St, Los Angeles, California |
| Phone Number | 2137407405 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1740339233 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2011-12-05 |
Provider Mailing Address Detail
| Address | 925 W 34th St |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900890641 |
| Phone Number | 2137407405 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 24282 |
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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 |
|---|---|---|---|
| P00182356 | CA | RAILROAD MEDICARE | |
| G100701 | CA | DENTICAL | |
| ZZZ34010A | CA | BLUE CROSS BLUE SHIELD | |
| U0100701 | CA | DENTICAL |
Post Comment/ Review Below
What is the unique provider identifier assigned to Glen Thomas Clark?
The Glen Thomas Clark has been issued the NPI (National Provider Identifier) 1740339233 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
What is the unique 10-digit identification code issued to Glen Thomas Clark by the Centers for Medicare & Medicaid Services?
The Glen Thomas Clark has been assigned the NPI (National Provider Identifier) 1740339233 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Glen Thomas Clark?
The Glen Thomas Clark is situated at 925 W 34Th St, in the city of Los Angeles, state of CA, with the zip code 900890641.
What is Glen Thomas Clark's area of expertise and its corresponding taxonomy classification?
The Glen Thomas Clark's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
When did Glen Thomas Clark receive its 1740339233 assignment?
The Glen Thomas Clark was assigned its 1740339233 on 2007-01-10, which is the date when this unique identifier was issued to the organization.
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