Gregory Dale Clark in Oakwood - General Practice
Gregory Dale Clark - NPI 1114064797
Gregory Dale Clark is a General Practice in Oakwood, Georgia. Gregory Dale Clark practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gregory Dale Clark is 1114064797. The last update date is 2007-07-08.
Gregory Dale Clark's current location address is 4212 Mcever Road, Oakwood, Georgia. You can contact this provider via phone number 7705344663 and fax number 7705343059. The mailing address for Gregory Dale Clark is 4212 Mcever Road, Oakwood, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Dale Clark |
|---|---|
| Address | 4212 Mcever Road, Oakwood, Georgia |
| Phone Number | 7705344663 |
| Fax Number | 7705343059 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1114064797 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4212 Mcever Road |
|---|---|
| City | Oakwood |
| State | Georgia (GA) |
| Post Code | 30566 |
| Phone Number | 7705344663 |
| Fax Number | 7705343059 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 8846 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gregory Dale Clark by the Centers for Medicare & Medicaid Services?
The Gregory Dale Clark has been assigned the NPI (National Provider Identifier) 1114064797 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Gregory Dale Clark is physically located?
The Gregory Dale Clark is situated at the following address: 4212 Mcever Road, Oakwood, GA 30566.
What is the Gregory Dale Clark's specialty and taxonomy code?
The Gregory Dale Clark's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114064797 to Gregory Dale Clark?
The Centers for Medicare & Medicaid Services assigned the 1114064797 to Gregory Dale Clark on 2007-01-31.
As of what date were the details related to Gregory Dale Clark most recently updated or revised?
The information pertaining to Gregory Dale Clark, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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