L L Clark Dds Sc in Boscobel - General Practice
L L Clark Dds Sc - NPI 1497713176
L L Clark Dds Sc is a General Practice in Boscobel, Wisconsin. L L Clark Dds Sc practices all healthcare services and medical treatments related to General Practice. The NPI Number for L L Clark Dds Sc is 1497713176. The last update date is 2020-08-22.
L L Clark Dds Sc's current location address is 105 East Bluff Street, Boscobel, Wisconsin. You can contact this provider via phone number 6083754549 and fax number 6083754665. The mailing address for L L Clark Dds Sc is 105 East Bluff Street, Boscobel, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | L L Clark Dds Sc |
|---|---|
| Address | 105 East Bluff Street, Boscobel, Wisconsin |
| Phone Number | 6083754549 |
| Fax Number | 6083754665 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Clark Lee Larry |
| Credentials | DDS |
| Telephone Number | 6083754549 |
NPI Number Detail
| NPI Number | 1497713176 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 105 East Bluff Street |
|---|---|
| City | Boscobel |
| State | Wisconsin (WI) |
| Post Code | 538059802 |
| Phone Number | 6083754549 |
| Fax Number | 6083754665 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5001678015 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33549200 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to L L Clark Dds Sc by the Centers for Medicare & Medicaid Services?
The L L Clark Dds Sc has been assigned the NPI (National Provider Identifier) 1497713176 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where L L Clark Dds Sc is physically located?
The L L Clark Dds Sc is situated at the following address: 105 East Bluff Street, Boscobel, WI 538059802.
What is L L Clark Dds Sc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for L L Clark Dds Sc is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497713176 to L L Clark Dds Sc?
The Centers for Medicare & Medicaid Services assigned the 1497713176 to L L Clark Dds Sc on 2006-05-03.
As of what date were the details related to L L Clark Dds Sc most recently updated or revised?
The information pertaining to L L Clark Dds Sc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.