Clark Family Dentistry

LBN: Clark Family Dentistry
Clark Family Dentistry is an health care organization with primary practice located at 639 Lotus Dr N , Mandeville LA 70471. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dental Hygienist. Dental Providers / General Practice is the primary health care specialty. Clark Family Dentistry can be contacted via phone (985) 624-5449, or through Clark, Paul A via phone (985) 624-5449.

Contact Information

Primary practice address
639 Lotus Dr N Mandeville LA 70471
Phone: (985) 624-5449
Fax: (985) 674-0393
Website:
Map and Directions
Authorized official contact:
Name: Clark, Paul A Doctor of Dental Surgery (DDS)
Phone: (985) 624-5449

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X LA4476 Louisiana
Dental Providers / Dental Hygienist 124Q00000X

Profile Details

NPI number 1891896148
LBN Legal business name Clark Family Dentistry
DBA Doing business as
Authorized official Clark, Paul A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Sep 11th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891896148 NPPES
Louisiana MEDICAID 1844764
Louisiana Other A2217

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