Charles Lee Clark in New Braunfels - Oral And Maxillofacial Surgery
Charles Lee Clark - NPI 1659331650
Charles Lee Clark is a Oral And Maxillofacial Surgery in New Braunfels, Texas. Charles Lee Clark practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Charles Lee Clark is 1659331650. The last update date is 2019-07-15.
Charles Lee Clark's current location address is 3013 Independence Drive, New Braunfels, Texas. You can contact this provider via phone number 8306256914 and fax number 8306295530. The mailing address for Charles Lee Clark is 3013 Independence Drive, New Braunfels, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Lee Clark |
|---|---|
| Address | 3013 Independence Drive, New Braunfels, Texas |
| Phone Number | 8306256914 |
| Fax Number | 8306295530 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1659331650 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2019-07-15 |
Provider Mailing Address Detail
| Address | 3013 Independence Drive |
|---|---|
| City | New Braunfels |
| State | Texas (TX) |
| Post Code | 78132 |
| Phone Number | 8306256914 |
| Fax Number | 8306295530 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 18816 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique identification code assigned to Charles Lee Clark by the Centers for Medicare & Medicaid Services?
The Charles Lee Clark has been issued the NPI (National Provider Identifier) 1659331650. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Charles Lee Clark?
The Charles Lee Clark is situated at 3013 Independence Drive, in the city of New Braunfels, state of TX, with the zip code 78132.
What is Charles Lee Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charles Lee Clark's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Charles Lee Clark receive the assignment of its 1659331650 from the Centers for Medicare & Medicaid Services?
The Charles Lee Clark was issued its 1659331650 by the Centers for Medicare & Medicaid Services on 2006-03-24.
As of what date were the details related to Charles Lee Clark most recently updated or revised?
The information pertaining to Charles Lee Clark, including its address, specialty, and other relevant details, was last updated or revised on 2019-07-15.