Roger E Clark in Lebanon - General Practice

Roger E Clark - NPI 1821202383

Roger E Clark is a General Practice in Lebanon, Ohio. Roger E Clark practices all healthcare services and medical treatments related to General Practice. The NPI Number for Roger E Clark is 1821202383. The last update date is 2007-07-08.

Roger E Clark's current location address is 736 Columbus Ave, Lebanon, Ohio. You can contact this provider via phone number 5139321370 and fax number 5139320814. The mailing address for Roger E Clark is 736 Columbus Ave, Lebanon, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Roger E Clark
Address 736 Columbus Ave, Lebanon, Ohio
Phone Number 5139321370
Fax Number 5139320814
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1821202383
Provider Enumeration Date 2007-05-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 736 Columbus Ave
City Lebanon
State Ohio (OH)
Post Code 450361608
Phone Number 5139321370
Fax Number 5139320814

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 13795
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 Roger E Clark

What is the unique 10-digit identifier code issued to Roger E Clark by the Centers for Medicare & Medicaid Services?

The Roger E Clark has been assigned the NPI (National Provider Identifier) 1821202383 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Roger E Clark's physical address?

The Roger E Clark is physically located at 736 Columbus Ave, in the city of Lebanon, OH, with the postal code 450361608.

What is Roger E Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Roger E Clark's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did Roger E Clark receive its 1821202383 assignment from the Centers for Medicare & Medicaid Services?

The Roger E Clark was assigned its 1821202383 on 2007-05-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Roger E Clark most recently updated or refreshed?

The details pertaining to the Roger E Clark, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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