Jerry Carl Clarke is a Periodontics in , . Jerry Carl Clarke practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jerry Carl Clarke is 1356567010. The last update date is 2007-07-08.
Jerry Carl Clarke's current location address is , , . You can contact this provider via phone number . The mailing address for Jerry Carl Clarke is , , . To know further, please read the information below!
Provider Profile Detail
Provider Name | Jerry Carl Clarke |
---|---|
Address | , , |
Phone Number | |
Fax Number | |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1356567010 |
---|---|
Provider Enumeration Date | 2007-04-18 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | |
---|---|
City | |
State | () |
Post Code | |
Phone Number | |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Periodontics |
---|---|
Taxonomy | 1223P0300X |
Licence No | 3823 |
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 |
Post Comment/ Review Below
What is the Jerry Carl Clarke's 1356567010?
The Jerry Carl Clarke's NPI (National Provider Identifier) Number is 1356567010. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jerry Carl Clarke is physically located?
The Jerry Carl Clarke is situated at the following address: , , .
What is the Jerry Carl Clarke's specialty and taxonomy code?
The Jerry Carl Clarke's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date was the 1356567010 assigned to Jerry Carl Clarke?
The Jerry Carl Clarke was issued its 1356567010 on 2007-04-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jerry Carl Clarke last refreshed?
The information related to the Jerry Carl Clarke, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1053314252
Address: 10220 Prairie Ridge Blvd, Pleasant Prairie, WI
NPI Number: 1720081912
Address: 111 Edgartown Rd, Vineyard Haven, MA