Albert Baxter Clark in Provo - General Practice
Albert Baxter Clark - NPI 1477571677
Albert Baxter Clark is a General Practice in Provo, Utah. Albert Baxter Clark practices all healthcare services and medical treatments related to General Practice. The NPI Number for Albert Baxter Clark is 1477571677. The last update date is 2007-07-08.
Albert Baxter Clark's current location address is 1355 N University Ave, Provo, Utah. You can contact this provider via phone number 8013751750 and fax number 8013756365. The mailing address for Albert Baxter Clark is 1355 N University Ave, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Albert Baxter Clark |
|---|---|
| Address | 1355 N University Ave, Provo, Utah |
| Phone Number | 8013751750 |
| Fax Number | 8013756365 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1477571677 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1355 N University Ave |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846042721 |
| Phone Number | 8013751750 |
| Fax Number | 8013756365 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 139191-9922 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Albert Baxter Clark?
The Albert Baxter Clark has been issued the NPI (National Provider Identifier) 1477571677 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Albert Baxter Clark is located?
The Albert Baxter Clark is situated at the following address: 1355 N University Ave, Provo, UT, 846042721.
What is Albert Baxter Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The Albert Baxter Clark's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Albert Baxter Clark receive its 1477571677 assignment from the Centers for Medicare & Medicaid Services?
The Albert Baxter Clark was assigned its 1477571677 by the Centers for Medicare & Medicaid Services on 2006-07-17.
When was the information pertaining to Albert Baxter Clark most recently updated or revised?
The details related to Albert Baxter Clark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1457354235
Address: Po Box 636256 Central Credentialing, Cincinnati, OH