Mike L Clark is a General Practice in Yakima, Washington. Mike L Clark practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mike L Clark is 1093790396. The last update date is 2007-07-08.
Mike L Clark's current location address is 1012 S 40th Ave, Yakima, Washington. You can contact this provider via phone number 5099669253 and fax number 5099666595. The mailing address for Mike L Clark is 1012 S 40th Ave, Yakima, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mike L Clark |
|---|---|
| Address | 1012 S 40th Ave, Yakima, Washington |
| Phone Number | 5099669253 |
| Fax Number | 5099666595 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1093790396 |
|---|---|
| Provider Enumeration Date | 2005-12-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1012 S 40th Ave |
|---|---|
| City | Yakima |
| State | Washington (WA) |
| Post Code | 989083804 |
| Phone Number | 5099669253 |
| Fax Number | 5099666595 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 10004 |
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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 10-digit identifier code assigned to Mike L Clark by the Centers for Medicare & Medicaid Services?
The Mike L Clark has been issued the NPI (National Provider Identifier) 1093790396 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mike L Clark is located?
The Mike L Clark is situated at the following address: 1012 S 40Th Ave, Yakima, WA, 989083804.
What is the Mike L Clark's specialty and taxonomy code?
The Mike L Clark's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093790396 to Mike L Clark?
The Centers for Medicare & Medicaid Services assigned the 1093790396 to Mike L Clark on 2005-12-08.
As of what date was the information pertaining to Mike L Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mike L Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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