James Robert Clark in Glen Allen - Dentist

James Robert Clark - NPI 1780753053

James Robert Clark is a Dentist in Glen Allen, Virginia. James Robert Clark practices all healthcare services and medical treatments related to Dentist. The NPI Number for James Robert Clark is 1780753053. The last update date is 2007-07-08.

James Robert Clark's current location address is 12413 Fremont Dr, Glen Allen, Virginia. You can contact this provider via phone number 8043641170. The mailing address for James Robert Clark is 12413 Fremont Dr, Glen Allen, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name James Robert Clark
Address 12413 Fremont Dr, Glen Allen, Virginia
Phone Number 8043641170
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1780753053
Provider Enumeration Date 2006-11-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12413 Fremont Dr
City Glen Allen
State Virginia (VA)
Post Code 230596995
Phone Number 8043641170
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 401007316
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 James Robert Clark

What is the James Robert Clark's 1780753053?

The James Robert Clark's NPI (National Provider Identifier) Number is 1780753053. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

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

The facilities of James Robert Clark are physically situated at the following location: 12413 Fremont Dr, Glen Allen, VA, 230596995.

What is James Robert Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for James Robert Clark is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1780753053 to James Robert Clark?

The Centers for Medicare & Medicaid Services assigned the 1780753053 to James Robert Clark on 2006-11-08.

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

The information pertaining to James Robert 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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