James A Clark in Anchorage - Oral And Maxillofacial Surgery
James A Clark - NPI 1376557736
James A Clark is a Oral And Maxillofacial Surgery in Anchorage, Alaska. James A Clark practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for James A Clark is 1376557736. The last update date is 2007-07-09.
James A Clark's current location address is 3650 Lake Otis Pkwy, Anchorage, Alaska. You can contact this provider via phone number 9075611430 and fax number 9075612697. The mailing address for James A Clark is 3650 Lake Otis Pkwy, Anchorage, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James A Clark |
|---|---|
| Address | 3650 Lake Otis Pkwy, Anchorage, Alaska |
| Phone Number | 9075611430 |
| Fax Number | 9075612697 |
| Sole Proprietor | N |
| Credentials | DMD,MS |
NPI Number Detail
| NPI Number | 1376557736 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3650 Lake Otis Pkwy |
|---|---|
| City | Anchorage |
| State | Alaska (AK) |
| Post Code | 995085207 |
| Phone Number | 9075611430 |
| Fax Number | 9075612697 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 389 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DD0389 | AK | -- | |
| 831476 | AK | TRI-CARE ID |
Post Comment/ Review Below
What is the unique identification code assigned to James A Clark by the Centers for Medicare & Medicaid Services?
The James A Clark has been issued the NPI (National Provider Identifier) 1376557736. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the James A Clark's physical address?
The James A Clark is physically located at 3650 Lake Otis Pkwy, in the city of Anchorage, AK, with the postal code 995085207.
What is James A Clark's specialized field of practice, and what is the corresponding taxonomy classification code?
The James A Clark's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did the James A Clark receive its 1376557736 assignment from the Centers for Medicare & Medicaid Services?
The James A Clark was assigned its 1376557736 by the Centers for Medicare & Medicaid Services on 2006-07-28.
When was the information regarding James A Clark most recently updated?
The details pertaining to the James A Clark, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.