Russell Adelbert Clark in Marysville - Dentist
Russell Adelbert Clark - NPI 1306060249
Russell Adelbert Clark is a Dentist in Marysville, Washington. Russell Adelbert Clark practices all healthcare services and medical treatments related to Dentist. The NPI Number for Russell Adelbert Clark is 1306060249. The last update date is 2007-07-08.
Russell Adelbert Clark's current location address is 7825 47th Ave Ne, Marysville, Washington. You can contact this provider via phone number 3606577785 and fax number 3606575696. The mailing address for Russell Adelbert Clark is 7825 47th Ave Ne, Marysville, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Adelbert Clark |
|---|---|
| Address | 7825 47th Ave Ne, Marysville, Washington |
| Phone Number | 3606577785 |
| Fax Number | 3606575696 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1306060249 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7825 47th Ave Ne |
|---|---|
| City | Marysville |
| State | Washington (WA) |
| Post Code | 982703732 |
| Phone Number | 3606577785 |
| Fax Number | 3606575696 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6917 |
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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 issued to Russell Adelbert Clark by the Centers for Medicare & Medicaid Services?
The Russell Adelbert Clark has been assigned the NPI (National Provider Identifier) 1306060249 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Russell Adelbert Clark's facilities are situated?
The facilities of Russell Adelbert Clark are physically located at the following address: 7825 47Th Ave Ne, Marysville, WA, 982703732.
What is the Russell Adelbert Clark's area of specialization and corresponding taxonomy classification?
The Russell Adelbert Clark's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1306060249 to Russell Adelbert Clark?
The Russell Adelbert Clark received its 1306060249 assignment from the Centers for Medicare & Medicaid Services on 2007-04-12.
As of what date were the Russell Adelbert Clark's details last updated?
The information pertaining to the Russell Adelbert Clark, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1316940851
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