Ronald Lee Clark in Red Bluff - Dentist

Ronald Lee Clark - NPI 1366433492

Ronald Lee Clark is a Dentist in Red Bluff, California. Ronald Lee Clark practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ronald Lee Clark is 1366433492. The last update date is 2007-07-08.

Ronald Lee Clark's current location address is Po Box 969, Red Bluff, California. You can contact this provider via phone number 5305274311 and fax number 5305277725. The mailing address for Ronald Lee Clark is Po Box 969, Red Bluff, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Ronald Lee Clark
Address Po Box 969, Red Bluff, California
Phone Number 5305274311
Fax Number 5305277725
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1366433492
Provider Enumeration Date 2005-10-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 969
City Red Bluff
State California (CA)
Post Code 960800969
Phone Number 5305274311
Fax Number 5305277725

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 24218
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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FAQs about Ronald Lee Clark

What is the unique provider identifier assigned to Ronald Lee Clark?

The Ronald Lee Clark has been issued the NPI (National Provider Identifier) 1366433492 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Ronald Lee Clark?

The Ronald Lee Clark is situated at Po Box 969, in the city of Red Bluff, state of CA, with the zip code 960800969.

What is the Ronald Lee Clark's area of specialization and corresponding taxonomy classification?

The Ronald Lee Clark's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.

When was the Ronald Lee Clark's 1366433492 issued?

The Ronald Lee Clark's 1366433492 was issued on 2005-10-28.

When was the information regarding Ronald Lee Clark, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Ronald Lee Clark, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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