David Bryce Clark in Shelbyville - Orthodontics And Dentofacial Orthopedics

David Bryce Clark - NPI 1013018803

David Bryce Clark is a Orthodontics And Dentofacial Orthopedics in Shelbyville, Indiana. David Bryce Clark practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for David Bryce Clark is 1013018803. The last update date is 2007-07-08.

David Bryce Clark's current location address is 1530 S Miller St, Shelbyville, Indiana. You can contact this provider via phone number 3173926166 and fax number 3173926196. The mailing address for David Bryce Clark is 1530 S Miller St, Shelbyville, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name David Bryce Clark
Address 1530 S Miller St, Shelbyville, Indiana
Phone Number 3173926166
Fax Number 3173926196
Sole Proprietor Y
Credentials D.D.S., M.

NPI Number Detail

NPI Number 1013018803
Provider Enumeration Date 2006-09-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1530 S Miller St
City Shelbyville
State Indiana (IN)
Post Code 461762949
Phone Number 3173926166
Fax Number 3173926196

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 12008231A
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about David Bryce Clark

What is the unique identification code assigned to David Bryce Clark by the Centers for Medicare & Medicaid Services?

The David Bryce Clark has been issued the NPI (National Provider Identifier) 1013018803. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of David Bryce Clark?

The David Bryce Clark is physically situated at 1530 S Miller St, in the city of Shelbyville, state of IN, with the postal code 461762949.

What is the David Bryce Clark's specialty and taxonomy code?

The David Bryce Clark's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1013018803 to David Bryce Clark?

The Centers for Medicare & Medicaid Services assigned the 1013018803 to David Bryce Clark on 2006-09-26.

When was the information pertaining to David Bryce Clark most recently updated or revised?

The details related to David Bryce Clark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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