Thurston Dwyght Clark in Gainesville - Dentist
Thurston Dwyght Clark - NPI 1306802673
Thurston Dwyght Clark is a Dentist in Gainesville, Florida. Thurston Dwyght Clark practices all healthcare services and medical treatments related to Dentist. The NPI Number for Thurston Dwyght Clark is 1306802673. The last update date is 2007-07-08.
Thurston Dwyght Clark's current location address is Po Box 100405, Gainesville, Florida. You can contact this provider via phone number 3522735862 and fax number 3523923070. The mailing address for Thurston Dwyght Clark is Po Box 100405, Gainesville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thurston Dwyght Clark |
|---|---|
| Address | Po Box 100405, Gainesville, Florida |
| Phone Number | 3522735862 |
| Fax Number | 3523923070 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1306802673 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 100405 |
|---|---|
| City | Gainesville |
| State | Florida (FL) |
| Post Code | 326100405 |
| Phone Number | 3522735862 |
| Fax Number | 3523923070 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN 5452 |
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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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What is the unique 10-digit identification code assigned to Thurston Dwyght Clark by the Centers for Medicare & Medicaid Services?
The Thurston Dwyght Clark has been issued the NPI (National Provider Identifier) 1306802673, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Thurston Dwyght Clark is physically located?
The Thurston Dwyght Clark is physically situated at the following address: Po Box 100405, Gainesville, FL, 326100405.
What is the Thurston Dwyght Clark's specialty and taxonomy code?
The Thurston Dwyght Clark's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Thurston Dwyght Clark receive its 1306802673 assignment from the Centers for Medicare & Medicaid Services?
The Thurston Dwyght Clark was assigned its 1306802673 by the Centers for Medicare & Medicaid Services on 2006-04-25.
When was the Thurston Dwyght Clark's information last updated?
The Thurston Dwyght Clark's information was last updated on 2007-07-08.