Pat Clark Dds is a Dental in Memphis, Tennessee. Pat Clark Dds practices all healthcare services and medical treatments related to Dental. The NPI Number for Pat Clark Dds is 1316958473. The last update date is 2020-08-22.
Pat Clark Dds's current location address is 6750 Poplar Ave, Memphis, Tennessee. You can contact this provider via phone number 9013093045 and fax number 9013093065. The mailing address for Pat Clark Dds is 6750 Poplar Ave, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pat Clark Dds |
|---|---|
| Address | 6750 Poplar Ave, Memphis, Tennessee |
| Phone Number | 9013093045 |
| Fax Number | 9013093065 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Clark Pat |
| Credentials | DDS |
| Telephone Number | 9013093045 |
NPI Number Detail
| NPI Number | 1316958473 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6750 Poplar Ave |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381387438 |
| Phone Number | 9013093045 |
| Fax Number | 9013093065 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | DS0000007499 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique 10-digit identification code issued to Pat Clark Dds by the Centers for Medicare & Medicaid Services?
The Pat Clark Dds has been assigned the NPI (National Provider Identifier) 1316958473 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Pat Clark Dds located?
The Pat Clark Dds is located at 6750 Poplar Ave, Memphis, TN 381387438.
What is Pat Clark Dds's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pat Clark Dds's specialized field of practice is Dental, and the corresponding taxonomy code that categorizes this area of specialization is 261Qd0000X.
When was the Pat Clark Dds's 1316958473 issued?
The Pat Clark Dds's 1316958473 was issued on 2006-08-11.
When was the Pat Clark Dds's information last updated?
The Pat Clark Dds's information was last updated on 2020-08-22.
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