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 |
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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 |
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Provider Enumeration Date | 2006-08-11 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3613 New Mexico Highway 528 |
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City | Albuquerque |
State | New Mexico (NM) |
Post Code | 87114 |
Phone Number | 5058988011 |
Fax Number | 5058907423 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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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 |
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141339 | UNITED CONCORDIA INSURANC |
Post Comment/ Review Below
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.