David Kyle Clark in Shreveport - Oral And Maxillofacial Surgery
David Kyle Clark - NPI 1548427693
David Kyle Clark is a Oral And Maxillofacial Surgery in Shreveport, Louisiana. David Kyle Clark practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for David Kyle Clark is 1548427693. The last update date is 2011-07-13.
David Kyle Clark's current location address is 2120 Bert Kouns Loop Ste D, Shreveport, Louisiana. You can contact this provider via phone number 3186879800. The mailing address for David Kyle Clark is 2120 Bert Kouns Loop Ste D, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Kyle Clark |
|---|---|
| Address | 2120 Bert Kouns Loop Ste D, Shreveport, Louisiana |
| Phone Number | 3186879800 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1548427693 |
|---|---|
| Provider Enumeration Date | 2008-05-16 |
| Last Updated Date | 2011-07-13 |
Provider Mailing Address Detail
| Address | 2120 Bert Kouns Loop Ste D |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711183351 |
| Phone Number | 3186879800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 6204 |
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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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Post Comment/ Review Below
What is the David Kyle Clark's unique identification number?
The David Kyle Clark has been assigned the NPI (National Provider Identifier) Number 1548427693 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where David Kyle Clark is geographically located?
The David Kyle Clark is physically situated at the following location: 2120 Bert Kouns Loop Ste D, Shreveport, LA, 711183351.
What is the David Kyle Clark's area of specialization and corresponding taxonomy classification?
The David Kyle Clark's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
When was the David Kyle Clark's 1548427693 issued?
The David Kyle Clark's 1548427693 was issued on 2008-05-16.
As of what date was the information regarding David Kyle Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David Kyle Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-07-13.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA