Candice Ella Clark in Las Cruces - General Practice
Candice Ella Clark - NPI 1124018379
Candice Ella Clark is a General Practice in Las Cruces, New Mexico. Candice Ella Clark practices all healthcare services and medical treatments related to General Practice. The NPI Number for Candice Ella Clark is 1124018379. The last update date is 2007-07-08.
Candice Ella Clark's current location address is 530 N Telshor Blvd, Las Cruces, New Mexico. You can contact this provider via phone number 5055325437 and fax number 5055224138. The mailing address for Candice Ella Clark is 530 N Telshor Blvd, Las Cruces, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Candice Ella Clark |
|---|---|
| Address | 530 N Telshor Blvd, Las Cruces, New Mexico |
| Phone Number | 5055325437 |
| Fax Number | 5055224138 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1124018379 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 530 N Telshor Blvd |
|---|---|
| City | Las Cruces |
| State | New Mexico (NM) |
| Post Code | 880118243 |
| Phone Number | 5055325437 |
| Fax Number | 5055224138 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DD2673 |
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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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What is the unique identifier code issued to Candice Ella Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Candice Ella Clark has been assigned the NPI (National Provider Identifier) 1124018379. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Candice Ella Clark located?
The Candice Ella Clark is located at 530 N Telshor Blvd, Las Cruces, NM 880118243.
What is Candice Ella Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Candice Ella Clark is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Candice Ella Clark receive its 1124018379 assignment from the Centers for Medicare & Medicaid Services?
The Candice Ella Clark was assigned its 1124018379 by the Centers for Medicare & Medicaid Services on 2005-10-27.
As of what date were the details pertaining to Candice Ella Clark last refreshed?
The information related to the Candice Ella Clark, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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