Clark Family Dentistry

LBN: Sunrise Dental Group Pc
Clark Family Dentistry is an health care organization with primary practice located at 141 W 20Th St , Farmington NM 87401-3401. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Suppliers / Customized Equipment. Dental Providers / Dentist is the primary health care specialty. Sunrise Dental Group Pc can be contacted via phone (505) 325-7121, or through Clark, Candice Ella via phone (505) 325-7121.

Contact Information

Primary practice address
141 W 20Th St Farmington NM 87401-3401
Phone: (505) 325-7121
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Candice Ella Doctor of Dental Surgery (DDS)
Phone: (505) 325-7121

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2673 New Mexico
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1447638218
LBN Legal business name Sunrise Dental Group Pc
DBA Doing business as Clark Family Dentistry
Authorized official Clark, Candice Ella Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2015
Last updated May 13th, 2015 - about 11 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.

Request for update

Popular Providers