Kelly Michael Clarke in Billings - Pediatric Dentistry
Kelly Michael Clarke - NPI 1285739409
Kelly Michael Clarke is a Pediatric Dentistry in Billings, Montana. Kelly Michael Clarke practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kelly Michael Clarke is 1285739409. The last update date is 2007-07-08.
Kelly Michael Clarke's current location address is 2700 Grand Ave, Billings, Montana. You can contact this provider via phone number 4066525550 and fax number 4066520562. The mailing address for Kelly Michael Clarke is 2700 Grand Ave, Billings, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Michael Clarke |
|---|---|
| Address | 2700 Grand Ave, Billings, Montana |
| Phone Number | 4066525550 |
| Fax Number | 4066520562 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1285739409 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2700 Grand Ave |
|---|---|
| City | Billings |
| State | Montana (MT) |
| Post Code | 591022680 |
| Phone Number | 4066525550 |
| Fax Number | 4066520562 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 1797-4 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113815 | MT | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kelly Michael Clarke?
The Kelly Michael Clarke has been issued the NPI (National Provider Identifier) 1285739409 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kelly Michael Clarke's facilities are situated?
The facilities of Kelly Michael Clarke are physically located at the following address: 2700 Grand Ave, Billings, MT, 591022680.
What is Kelly Michael Clarke's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelly Michael Clarke's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Kelly Michael Clarke receive the assignment of its 1285739409 from the Centers for Medicare & Medicaid Services?
The Kelly Michael Clarke was issued its 1285739409 by the Centers for Medicare & Medicaid Services on 2006-09-13.
When was the information regarding Kelly Michael Clarke most recently updated?
The details pertaining to the Kelly Michael Clarke, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.