Paul M. Clark in Shreveport - Oral And Maxillofacial Pathology
Paul M. Clark - NPI 1386758936
Paul M. Clark is a Oral And Maxillofacial Pathology in Shreveport, Louisiana. Paul M. Clark practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Paul M. Clark is 1386758936. The last update date is 2007-07-08.
Paul M. Clark's current location address is 2120 Bert Kouns Industrial Loop, Shreveport, Louisiana. You can contact this provider via phone number 3186879800 and fax number 3186874752. The mailing address for Paul M. Clark is 2120 Bert Kouns Industrial Loop, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul M. Clark |
|---|---|
| Address | 2120 Bert Kouns Industrial Loop, Shreveport, Louisiana |
| Phone Number | 3186879800 |
| Fax Number | 3186874752 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1386758936 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2120 Bert Kouns Industrial Loop |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711183351 |
| Phone Number | 3186879800 |
| Fax Number | 3186874752 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Pathology |
|---|---|
| Taxonomy | 1223P0106X |
| Licence No | 2432 |
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Definition: The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these |
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What is the unique 10-digit identification code assigned to Paul M. Clark by the Centers for Medicare & Medicaid Services?
The Paul M. Clark has been issued the NPI (National Provider Identifier) 1386758936, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Paul M. Clark's facilities are geographically located?
The facilities of Paul M. Clark are physically situated at the following location: 2120 Bert Kouns Industrial Loop, Shreveport, LA, 711183351.
What is Paul M. Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Paul M. Clark is Oral And Maxillofacial Pathology, and the taxonomy code that categorizes this field of expertise is 1223P0106X.
On what date did the Paul M. Clark receive its 1386758936 assignment from the Centers for Medicare & Medicaid Services?
The Paul M. Clark was assigned its 1386758936 by the Centers for Medicare & Medicaid Services on 2006-08-19.
When was the Paul M. Clark's information last updated?
The Paul M. Clark's information was last updated on 2007-07-08.