Clark Dental Care Inc

LBN: Clark Dental Care Inc
Clark Dental Care Inc is an health care organization with primary practice located at 1980 A Kings Gate Rd Suite A, Springfield OH 45502. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Clark Dental Care Inc can be contacted via phone (937) 342-5370, or through Abdel Wahab, Kamal Abdel Basir via phone (937) 342-5370.

Contact Information

Primary practice address
1980 A Kings Gate Rd Suite A Springfield OH 45502
Phone: (937) 342-5370
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Abdel Wahab, Kamal Abdel Basir Doctor of Dental Surgery (DDS)
Phone: (937) 342-5370

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1891845160
LBN Legal business name Clark Dental Care Inc
DBA Doing business as
Authorized official Abdel Wahab, Kamal Abdel Basir Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1891845160 NPPES
Ohio MEDICAID 0679565

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