Robert S Clark Dds in Pembroke - General Practice
Robert S Clark Dds - NPI 1306027529
Robert S Clark Dds is a General Practice in Pembroke, Massachusetts. Robert S Clark Dds practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert S Clark Dds is 1306027529. The last update date is 2007-11-15.
Robert S Clark Dds's current location address is 31 Schoosett Street, Pembroke, Massachusetts. You can contact this provider via phone number 7818267577 and fax number 7818268970. The mailing address for Robert S Clark Dds is 31 Schoosett Street, Pembroke, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Robert S Clark Dds |
|---|---|
| Address | 31 Schoosett Street, Pembroke, Massachusetts |
| Phone Number | 7818267577 |
| Fax Number | 7818268970 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER DENT |
|---|---|
| Authorized Official Name | Clark Steven Robert |
| Credentials | DDS |
| Telephone Number | 7818267577 |
NPI Number Detail
| NPI Number | 1306027529 |
|---|---|
| Provider Enumeration Date | 2007-11-15 |
| Last Updated Date | 2007-11-15 |
Provider Mailing Address Detail
| Address | 31 Schoosett Street |
|---|---|
| City | Pembroke |
| State | Massachusetts (MA) |
| Post Code | 2359 |
| Phone Number | 7818267577 |
| Fax Number | 7818268970 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 13190 |
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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 |
|---|---|---|---|
| 248126 | MA | -- |
Post Comment/ Review Below
What is the Robert S Clark Dds's 1306027529?
The Robert S Clark Dds's NPI (National Provider Identifier) Number is 1306027529. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Robert S Clark Dds located?
The Robert S Clark Dds is located at 31 Schoosett Street, Pembroke, MA 2359.
What is Robert S Clark Dds's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Robert S Clark Dds is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Robert S Clark Dds receive its 1306027529 assignment from the Centers for Medicare & Medicaid Services?
The Robert S Clark Dds was assigned its 1306027529 by the Centers for Medicare & Medicaid Services on 2007-11-15.
When was the Robert S Clark Dds's information last updated?
The Robert S Clark Dds's information was last updated on 2007-11-15.
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