Steven Heyen Clark in Iowa City - Periodontics
Steven Heyen Clark - NPI 1629172622
Steven Heyen Clark is a Periodontics in Iowa City, Iowa. Steven Heyen Clark practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Steven Heyen Clark is 1629172622. The last update date is 2018-10-05.
Steven Heyen Clark's current location address is 322 Dental Science Bldg S, Iowa City, Iowa. You can contact this provider via phone number 3193357440 and fax number 3193357451. The mailing address for Steven Heyen Clark is 322 Dental Science Bldg S, Iowa City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Heyen Clark |
|---|---|
| Address | 322 Dental Science Bldg S, Iowa City, Iowa |
| Phone Number | 3193357440 |
| Fax Number | 3193357451 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1629172622 |
|---|---|
| Provider Enumeration Date | 2006-09-11 |
| Last Updated Date | 2018-10-05 |
Provider Mailing Address Detail
| Address | 322 Dental Science Bldg S |
|---|---|
| City | Iowa City |
| State | Iowa (IA) |
| Post Code | 522421001 |
| Phone Number | 3193357440 |
| Fax Number | 3193357451 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 7536 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1106385 | IA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Steven Heyen Clark?
The Steven Heyen Clark has been issued the NPI (National Provider Identifier) 1629172622 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Steven Heyen Clark located?
The Steven Heyen Clark is located at 322 Dental Science Bldg S, Iowa City, IA 522421001.
What is the Steven Heyen Clark's area of specialization and corresponding taxonomy classification?
The Steven Heyen Clark's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
On what date did Steven Heyen Clark receive its 1629172622 assignment from the Centers for Medicare & Medicaid Services?
The Steven Heyen Clark was assigned its 1629172622 on 2006-09-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Steven Heyen Clark's information last updated?
The Steven Heyen Clark's information was last updated on 2018-10-05.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH