Christopher Clark Dds Pa in Bladenboro - Dentist
Christopher Clark Dds Pa - NPI 1255506861
Christopher Clark Dds Pa is a Dentist in Bladenboro, North Carolina. Christopher Clark Dds Pa practices all healthcare services and medical treatments related to Dentist. The NPI Number for Christopher Clark Dds Pa is 1255506861. The last update date is 2008-04-24.
Christopher Clark Dds Pa's current location address is 104 Fourth St, Bladenboro, North Carolina. You can contact this provider via phone number 9108632377 and fax number 9108632555. The mailing address for Christopher Clark Dds Pa is 104 Fourth St, Bladenboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Christopher Clark Dds Pa |
|---|---|
| Address | 104 Fourth St, Bladenboro, North Carolina |
| Phone Number | 9108632377 |
| Fax Number | 9108632555 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Clark J Christopher |
| Credentials | DDS |
| Telephone Number | 9108632377 |
NPI Number Detail
| NPI Number | 1255506861 |
|---|---|
| Provider Enumeration Date | 2008-04-24 |
| Last Updated Date | 2008-04-24 |
Provider Mailing Address Detail
| Address | 104 Fourth St |
|---|---|
| City | Bladenboro |
| State | North Carolina (NC) |
| Post Code | 28320 |
| Phone Number | 9108632377 |
| Fax Number | 9108632555 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 7917 |
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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 |
|---|---|---|---|
| 5903289 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Christopher Clark Dds Pa by the Centers for Medicare & Medicaid Services?
The Christopher Clark Dds Pa has been issued the NPI (National Provider Identifier) 1255506861, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Christopher Clark Dds Pa is physically located?
The Christopher Clark Dds Pa is situated at the following address: 104 Fourth St, Bladenboro, NC 28320.
What is Christopher Clark Dds Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Christopher Clark Dds Pa is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Christopher Clark Dds Pa receive the assignment of its 1255506861 from the Centers for Medicare & Medicaid Services?
The Christopher Clark Dds Pa was issued its 1255506861 by the Centers for Medicare & Medicaid Services on 2008-04-24.
When was the information regarding Christopher Clark Dds Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Christopher Clark Dds Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-24.