Bladenboro Family Dentistry

LBN: Christopher Clark Dds Pa
Bladenboro Family Dentistry is an health care organization with primary practice located at 104 Fourth St , Bladenboro NC 28320. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is the primary health care specialty. Christopher Clark Dds Pa can be contacted via phone (910) 863-2377, or through Clark, Christopher J via phone (910) 863-2377.

Contact Information

Primary practice address
104 Fourth St Bladenboro NC 28320
Phone: (910) 863-2377
Fax: (910) 863-2555
Website:
Map and Directions
Authorized official contact:
Name: Clark, Christopher J Doctor of Dental Surgery (DDS)
Phone: (910) 863-2377

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 7917 North Carolina
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 8366 North Carolina

Profile Details

NPI number 1255506861
LBN Legal business name Christopher Clark Dds Pa
DBA Doing business as Bladenboro Family Dentistry
Authorized official Clark, Christopher J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2008
Last updated Apr 24th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255506861 NPPES
North Carolina MEDICAID 5903289

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