George R Clark in Richardson - General Practice

George R Clark - NPI 1043320773

George R Clark is a General Practice in Richardson, Texas. George R Clark practices all healthcare services and medical treatments related to General Practice. The NPI Number for George R Clark is 1043320773. The last update date is 2007-07-08.

George R Clark's current location address is 610 Old Campbell Rd, Richardson, Texas. You can contact this provider via phone number 9722312576 and fax number 9722354491. The mailing address for George R Clark is 610 Old Campbell Rd, Richardson, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name George R Clark
Address 610 Old Campbell Rd, Richardson, Texas
Phone Number 9722312576
Fax Number 9722354491
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1043320773
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 610 Old Campbell Rd
City Richardson
State Texas (TX)
Post Code 75080
Phone Number 9722312576
Fax Number 9722354491

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 8115
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 George R Clark

What is the unique identifier code issued to George R Clark by the Centers for Medicare & Medicaid Services (CMS)?

The George R Clark has been assigned the NPI (National Provider Identifier) 1043320773. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of George R Clark?

The George R Clark is situated at 610 Old Campbell Rd, in the city of Richardson, state of TX, with the zip code 75080.

What is George R Clark's area of expertise and its corresponding taxonomy classification?

The George R 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 did the Centers for Medicare & Medicaid Services issue the 1043320773 to George R Clark?

The George R Clark received its 1043320773 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.

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

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

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