John Nicholas Clark D.D.S.

NPI 1649401597 - Dentist - 122300000X

NPI Details
NPI 1649401597
Gender Male
Enumeration Date 07/27/2009
Last Updated 10/01/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
810 LOCUST ST
CONWAY AR, 72034-5331, US
Phone (479) 466-3834
Fax
Business Location
810 LOCUST ST
CONWAY AR, 72034-5331, US
Phone (479) 466-3834
Fax
Toxanomy
Taxonomy Code 122300000X
License State Arkansas
License Number 3810
Remove 1649401597 NPI Number
 

According to our database, Dr. John Nicholas Clark D.D.S. NPI is 1649401597, taxonomy code is 122300000X and license number is 3810, license state is located at Arkansas. John Nicholas Clark D.D.S. physically located at 810 Locust St, Conway AR, 72034-5331. NPI Number John Nicholas Clark D.D.S. has the Individual type.

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1649401597 NPI number is provided on an as is basis without warranty of any kind. 1649401597 is maintained by the National Plan & Provider Enumeration System. The contents of John Nicholas Clark D.D.S. are for informational purposes only.