Norman Charles Clark in Philadelphia - General Practice

Norman Charles Clark - NPI 1932389889

Norman Charles Clark is a General Practice in Philadelphia, Pennsylvania. Norman Charles Clark practices all healthcare services and medical treatments related to General Practice. The NPI Number for Norman Charles Clark is 1932389889. The last update date is 2007-11-08.

Norman Charles Clark's current location address is 4401 Conshohocken Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158779111 and fax number 2158771524. The mailing address for Norman Charles Clark is 4401 Conshohocken Ave, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Norman Charles Clark
Address 4401 Conshohocken Ave, Philadelphia, Pennsylvania
Phone Number 2158779111
Fax Number 2158771524
Sole Proprietor Y
Credentials D.M.D

NPI Number Detail

NPI Number 1932389889
Provider Enumeration Date 2007-11-08
Last Updated Date 2007-11-08

Provider Mailing Address Detail

Address 4401 Conshohocken Ave
City Philadelphia
State Pennsylvania (PA)
Post Code 191311553
Phone Number 2158779111
Fax Number 2158771524

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DS0218962
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 Norman Charles Clark

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

The Norman Charles Clark has been assigned the NPI (National Provider Identifier) 1932389889 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Norman Charles Clark is physically located?

The Norman Charles Clark is physically situated at the following address: 4401 Conshohocken Ave, Philadelphia, PA, 191311553.

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

The Norman Charles 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 the Centers for Medicare & Medicaid Services originally issue the 1932389889 to Norman Charles Clark?

The Centers for Medicare & Medicaid Services originally issued the 1932389889 to Norman Charles Clark on 2007-11-08.

As of what date were the details related to Norman Charles Clark most recently updated or revised?

The information pertaining to Norman Charles Clark, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-08.

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