Jeffrey Clark in Albuquerque - General Practice

Jeffrey Clark - NPI 1407995426

Jeffrey Clark is a General Practice in Albuquerque, New Mexico. Jeffrey Clark practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffrey Clark is 1407995426. The last update date is 2007-07-08.

Jeffrey Clark's current location address is 2211 Lomas Blvd Ne, Albuquerque, New Mexico. You can contact this provider via phone number 5052726225. The mailing address for Jeffrey Clark is 2211 Lomas Blvd Ne, Albuquerque, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Clark
Address 2211 Lomas Blvd Ne, Albuquerque, New Mexico
Phone Number 5052726225
Fax Number
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1407995426
Provider Enumeration Date 2007-02-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2211 Lomas Blvd Ne
City Albuquerque
State New Mexico (NM)
Post Code 871310001
Phone Number 5052726225
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2006-12-01 0
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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FAQs about Jeffrey Clark

What is the unique identifier code issued to Jeffrey Clark by the Centers for Medicare & Medicaid Services?

The Jeffrey Clark has been assigned the NPI (National Provider Identifier) 1407995426. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jeffrey Clark is physically located?

The Jeffrey Clark is situated at the following address: 2211 Lomas Blvd Ne, Albuquerque, NM 871310001.

What is Jeffrey Clark'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 Jeffrey Clark is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Jeffrey Clark receive the assignment of its 1407995426 from the Centers for Medicare & Medicaid Services?

The Jeffrey Clark was issued its 1407995426 by the Centers for Medicare & Medicaid Services on 2007-02-06.

As of what date were the Jeffrey Clark's details last updated?

The information pertaining to the Jeffrey Clark, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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