Guy Charles Clark in Albuquerque - General Practice

Guy Charles Clark - NPI 1215948286

Guy Charles Clark is a General Practice in Albuquerque, New Mexico. Guy Charles Clark practices all healthcare services and medical treatments related to General Practice. The NPI Number for Guy Charles Clark is 1215948286. The last update date is 2007-07-08.

Guy Charles Clark's current location address is 3613 New Mexico Highway 528, Albuquerque, New Mexico. You can contact this provider via phone number 5058988011 and fax number 5058907423. The mailing address for Guy Charles Clark is 3613 New Mexico Highway 528, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Guy Charles Clark
Address 3613 New Mexico Highway 528, Albuquerque, New Mexico
Phone Number 5058988011
Fax Number 5058907423
Sole Proprietor Y
Credentials D.D.S. PA

NPI Number Detail

NPI Number 1215948286
Provider Enumeration Date 2006-08-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3613 New Mexico Highway 528
City Albuquerque
State New Mexico (NM)
Post Code 87114
Phone Number 5058988011
Fax Number 5058907423

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DD1139
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
141339 UNITED CONCORDIA INSURANC

Post Comment/ Review Below

FAQs about Guy Charles Clark

What is the unique 10-digit identification code assigned to Guy Charles Clark by the Centers for Medicare & Medicaid Services?

The Guy Charles Clark has been issued the NPI (National Provider Identifier) 1215948286, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Guy Charles Clark?

The Guy Charles Clark is situated at 3613 New Mexico Highway 528, in the city of Albuquerque, state of NM, with the zip code 87114.

What is Guy Charles Clark's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Guy Charles Clark is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did Guy Charles Clark receive its 1215948286 assignment from the Centers for Medicare & Medicaid Services?

The Guy Charles Clark was assigned its 1215948286 on 2006-08-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Guy Charles Clark most recently updated or revised?

The details related to Guy Charles Clark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

Other Providers of General Practice
John Fiore

NPI Number: 1013910066

Address: 1705 Bow St, Missoula, MT

Jennifer Rost

NPI Number: 1568465508

Address: 16083 Sw Upper Boones Ferry Rd, Tigard, OR

Desiree Van Blaricom

NPI Number: 1033112073

Address: 435 S Crystal St, Butte, MT

Amy J Pearson

NPI Number: 1972506905

Address: 600 Oakmont Ln Ste 600c, Westmont, IL

James H Kostrewa

NPI Number: 1679576698

Address: 7540 N 19th Ave Ste 101, Phoenix, AZ

Matthew A Figueroa

NPI Number: 1528061546

Address: Po Box 32490, Phoenix, AZ

Angela L Janssen

NPI Number: 1164425104

Address: Po Box 32490, Phoenix, AZ

Charles Francis Rinehart

NPI Number: 1780687988

Address: 13 Western Maryland Pkwy, Hagerstown, MD

Laura Marie Blair

NPI Number: 1598768798

Address: 13 Western Maryland Pkwy, Hagerstown, MD

Advanced Physical Therapy, Llc

NPI Number: 1316940505

Address: 790 Remington Blvd, Bolingbrook, IL

Andrea J Mcwhorter

NPI Number: 1508869512

Address: 14545 W Grand Ave Ste 108, Surprise, AZ

Kelly Moore Schiller

NPI Number: 1205839214

Address: 1308 Hunter Rdg, Siloam Springs, AR

Family Orthopedic Associates P L C

NPI Number: 1215930490

Address: 4466 W Bristol Rd, Flint, MI

Paul D Holland

NPI Number: 1689677858

Address: 752 W Plymouth Ave, Deland, FL

Patricia Bolli Nelson

NPI Number: 1902809031

Address: 305 W Mill St, Livingston, TX