Clark Family Dental Inc, NPI 1689811853
General Practice Dentistry in Chippewa Falls, WI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1689811853
NPI Entity Type Organization
Provider Name Clark Family Dental Inc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 777 Park Avenue, Chippewa Falls, WI, US
Provider Mailing Address 777 Park Avenue, Chippewa Falls, WI, US, 54729
Is Sole Proprietor? No
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Organization Official

Official Name DR. DMD Jeffrey Michael Clark
Official Position DENTIST
Phone 715-723-0367

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

1223G0001X

Taxonomy Name General Practice Dentistry
Classification

Dentist

Group

Dental Providers

License No. 6137015
License State WI
Description A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Other Organization Name

Park Avenue Dental
Doing Business As

Business Address

Clark Family Dental Inc
777 Park Avenue

Chippewa Falls, WI, US

Phone: 715-723-0367

Mailing Address

Clark Family Dental Inc
777 Park Avenue
Chippewa Falls, WI, US
ZIP 54729
Phone: 715-723-0367

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Fort Healthcare, Inc

Organization

Home Health Agency

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