Lindberg Clark is a Dentist in Gulfport, Mississippi. Lindberg Clark practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lindberg Clark is 1568439107. The last update date is 2008-06-13.
Lindberg Clark's current location address is 15024 Martin Luther King Jr Blvd, Gulfport, Mississippi. You can contact this provider via phone number 2288640003 and fax number 2288648553. The mailing address for Lindberg Clark is 15024 Martin Luther King Jr Blvd, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lindberg Clark |
|---|---|
| Address | 15024 Martin Luther King Jr Blvd, Gulfport, Mississippi |
| Phone Number | 2288640003 |
| Fax Number | 2288648553 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1568439107 |
|---|---|
| Provider Enumeration Date | 2006-03-02 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 15024 Martin Luther King Jr Blvd |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 39501 |
| Phone Number | 2288640003 |
| Fax Number | 2288648553 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 204683 |
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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 |
|---|---|---|---|
| 60061 | MS | -- |
Post Comment/ Review Below
What is the Lindberg Clark's unique identification number?
The Lindberg Clark has been assigned the NPI (National Provider Identifier) Number 1568439107 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Lindberg Clark's facilities are situated?
The facilities of Lindberg Clark are physically located at the following address: 15024 Martin Luther King Jr Blvd, Gulfport, MS, 39501.
What is Lindberg Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lindberg Clark's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568439107 to Lindberg Clark?
The Centers for Medicare & Medicaid Services originally issued the 1568439107 to Lindberg Clark on 2006-03-02.
When was the information related to Lindberg Clark most recently updated or refreshed?
The details pertaining to the Lindberg Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-13.