Glen Thomas Clark in Los Angeles - Oral And Maxillofacial Pathology

Glen Thomas Clark - NPI 1740339233

Glen Thomas Clark is a Oral And Maxillofacial Pathology in Los Angeles, California. Glen Thomas Clark practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Glen Thomas Clark is 1740339233. The last update date is 2011-12-05.

Glen Thomas Clark's current location address is 925 W 34th St, Los Angeles, California. You can contact this provider via phone number 2137407405. The mailing address for Glen Thomas Clark is 925 W 34th St, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Glen Thomas Clark
Address 925 W 34th St, Los Angeles, California
Phone Number 2137407405
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1740339233
Provider Enumeration Date 2007-01-10
Last Updated Date 2011-12-05

Provider Mailing Address Detail

Address 925 W 34th St
City Los Angeles
State California (CA)
Post Code 900890641
Phone Number 2137407405
Fax Number

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No 24282
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00182356 CA RAILROAD MEDICARE
G100701 CA DENTICAL
ZZZ34010A CA BLUE CROSS BLUE SHIELD
U0100701 CA DENTICAL

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FAQs about Glen Thomas Clark

What is the unique provider identifier assigned to Glen Thomas Clark?

The Glen Thomas Clark has been issued the NPI (National Provider Identifier) 1740339233 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

What is the unique 10-digit identification code issued to Glen Thomas Clark by the Centers for Medicare & Medicaid Services?

The Glen Thomas Clark has been assigned the NPI (National Provider Identifier) 1740339233 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Glen Thomas Clark?

The Glen Thomas Clark is situated at 925 W 34Th St, in the city of Los Angeles, state of CA, with the zip code 900890641.

What is Glen Thomas Clark's area of expertise and its corresponding taxonomy classification?

The Glen Thomas Clark's field of specialization is Oral And Maxillofacial Pathology, and it falls under the taxonomy code 1223P0106X, which categorizes healthcare providers based on their areas of practice.

When did Glen Thomas Clark receive its 1740339233 assignment?

The Glen Thomas Clark was assigned its 1740339233 on 2007-01-10, which is the date when this unique identifier was issued to the organization.

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