Edward Lee Clark in Redmond - General Practice
Edward Lee Clark - NPI 1528074523
Edward Lee Clark is a General Practice in Redmond, Oregon. Edward Lee Clark practices all healthcare services and medical treatments related to General Practice. The NPI Number for Edward Lee Clark is 1528074523. The last update date is 2007-07-08.
Edward Lee Clark's current location address is 2727 Sw 17th Pl, Redmond, Oregon. You can contact this provider via phone number 5415483896 and fax number 5415481859. The mailing address for Edward Lee Clark is 2727 Sw 17th Pl, Redmond, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Lee Clark |
|---|---|
| Address | 2727 Sw 17th Pl, Redmond, Oregon |
| Phone Number | 5415483896 |
| Fax Number | 5415481859 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1528074523 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2727 Sw 17th Pl |
|---|---|
| City | Redmond |
| State | Oregon (OR) |
| Post Code | 977561297 |
| Phone Number | 5415483896 |
| Fax Number | 5415481859 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D6918 |
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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 10-digit identifier code issued to Edward Lee Clark by the Centers for Medicare & Medicaid Services?
The Edward Lee Clark has been assigned the NPI (National Provider Identifier) 1528074523 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Edward Lee Clark is physically located?
The Edward Lee Clark is situated at the following address: 2727 Sw 17Th Pl, Redmond, OR 977561297.
What is Edward Lee Clark's area of expertise and its corresponding taxonomy classification?
The Edward Lee Clark's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1528074523 assigned to Edward Lee Clark?
The Edward Lee Clark was issued its 1528074523 on 2006-07-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Edward Lee Clark most recently updated or revised?
The details related to Edward Lee Clark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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