Clark Family Dentistry
LBN: Daniel J. Clark, Dds, Inc.
Clark Family Dentistry is an health care organization with primary practice located at 624 South High Street , Hillsboro OH 45133. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Daniel J. Clark, Dds, Inc. can be contacted via phone (937) 393-3494, or through Clark, Daniel J. via phone (937) 393-3494.
Contact Information
Primary practice address
624 South High Street
Hillsboro OH 45133
Phone: (937) 393-3494
Fax: (937) 393-6864
Website:
Authorized official contact:
Name: Clark, Daniel J. Doctor of Dental Surgery (DDS)
Phone: (937) 393-3494
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 15180 | Ohio |
| Dental Providers / Dentist | 122300000X | 18843 | Ohio |
Profile Details
| NPI number | 1144228875 |
|---|---|
| LBN Legal business name | Daniel J. Clark, Dds, Inc. |
| DBA Doing business as | Clark Family Dentistry |
| Authorized official | Clark, Daniel J. Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Mar 15th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144228875 | NPPES |
| Ohio | MEDICAID | 0854375 | |
| Ohio | Other | 792420 |
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