Alan Douglas Clark in Fayetteville - General Practice
Alan Douglas Clark - NPI 1619985884
Alan Douglas Clark is a General Practice in Fayetteville, Arkansas. Alan Douglas Clark practices all healthcare services and medical treatments related to General Practice. The NPI Number for Alan Douglas Clark is 1619985884. The last update date is 2012-10-26.
Alan Douglas Clark's current location address is 745 E. Joyce, Fayetteville, Arkansas. You can contact this provider via phone number 4794431849 and fax number 4794432034. The mailing address for Alan Douglas Clark is 745 E. Joyce, Fayetteville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alan Douglas Clark |
|---|---|
| Address | 745 E. Joyce, Fayetteville, Arkansas |
| Phone Number | 4794431849 |
| Fax Number | 4794432034 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1619985884 |
|---|---|
| Provider Enumeration Date | 2006-08-04 |
| Last Updated Date | 2012-10-26 |
Provider Mailing Address Detail
| Address | 745 E. Joyce |
|---|---|
| City | Fayetteville |
| State | Arkansas (AR) |
| Post Code | 72703 |
| Phone Number | 4794431849 |
| Fax Number | 4794432034 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3349 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 870436704 | AR | OLD TAX ID # | |
| 412175658 | AR | NEW TAX ID # | |
| 143894608 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Alan Douglas Clark by the Centers for Medicare & Medicaid Services?
The Alan Douglas Clark has been assigned the NPI (National Provider Identifier) 1619985884 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 Alan Douglas Clark's facilities are geographically located?
The facilities of Alan Douglas Clark are physically situated at the following location: 745 E. Joyce, Fayetteville, AR, 72703.
What is the Alan Douglas Clark's specialty and taxonomy code?
The Alan Douglas Clark's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did Alan Douglas Clark receive its 1619985884 assignment from the Centers for Medicare & Medicaid Services?
The Alan Douglas Clark was assigned its 1619985884 on 2006-08-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Alan Douglas Clark most recently updated or revised?
The information pertaining to Alan Douglas Clark, including its address, specialty, and other relevant details, was last updated or revised on 2012-10-26.