Clark Family Dentistry Pc

LBN: Clark Family Dentistry Pc
Clark Family Dentistry Pc is an health care organization with primary practice located at 2727 Sw 17Th Pl , Redmond OR 97756-1297. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Clark Family Dentistry Pc can be contacted via phone (541) 548-3896, or through Clark, Edward Lee via phone (541) 548-3896.

Contact Information

Primary practice address
2727 Sw 17Th Pl Redmond OR 97756-1297
Phone: (541) 548-3896
Fax: (541) 548-1859
Website:
Map and Directions
Authorized official contact:
Name: Clark, Edward Lee Doctor of Dental Medicine (DMD)
Phone: (541) 548-3896

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D6918 Oregon

Profile Details

NPI number 1649545138
LBN Legal business name Clark Family Dentistry Pc
DBA Doing business as
Authorized official Clark, Edward Lee Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2012
Last updated Mar 15th, 2012 - about 14 years ago

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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