Peter A Clark in Bonham - Dentist

Peter A Clark - NPI 1043322902

Peter A Clark is a Dentist in Bonham, Texas. Peter A Clark practices all healthcare services and medical treatments related to Dentist. The NPI Number for Peter A Clark is 1043322902. The last update date is 2007-07-08.

Peter A Clark's current location address is Bonham Family Dentistry, Bonham, Texas. You can contact this provider via phone number 9035838023 and fax number 9035831291. The mailing address for Peter A Clark is Bonham Family Dentistry, Bonham, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter A Clark
Address Bonham Family Dentistry, Bonham, Texas
Phone Number 9035838023
Fax Number 9035831291
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1043322902
Provider Enumeration Date 2006-08-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Bonham Family Dentistry
City Bonham
State Texas (TX)
Post Code 75418
Phone Number 9035838023
Fax Number 9035831291

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 20341
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
86D654 TX BC BC

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FAQs about Peter A Clark

What is the unique 10-digit identifier code issued to Peter A Clark by the Centers for Medicare & Medicaid Services?

The Peter A Clark has been assigned the NPI (National Provider Identifier) 1043322902 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Peter A Clark's facilities are geographically located?

The facilities of Peter A Clark are physically situated at the following location: Bonham Family Dentistry, Bonham, TX, 75418.

What is Peter A Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Peter A Clark's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

When did Peter A Clark receive its 1043322902 assignment?

The Peter A Clark was assigned its 1043322902 on 2006-08-31, which is the date when this unique identifier was issued to the organization.

When was the information regarding Peter A Clark most recently updated?

The details pertaining to the Peter A Clark, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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