Clark Family Dentistry
LBN: Clark Family Dentistry
Clark Family Dentistry is an health care organization with primary practice located at 639 Lotus Dr N , Mandeville LA 70471. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dental Hygienist. Dental Providers / General Practice is the primary health care specialty.
Clark Family Dentistry can be contacted via phone (985) 624-5449, or through Clark, Paul A via phone (985) 624-5449.
Contact Information
Primary practice address
639 Lotus Dr N
Mandeville LA 70471
Phone: (985) 624-5449
Fax: (985) 674-0393
Website:
Authorized official contact:
Name: Clark, Paul A Doctor of Dental Surgery (DDS)
Phone: (985) 624-5449
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | LA4476 | Louisiana |
| Dental Providers / Dental Hygienist | 124Q00000X |
Profile Details
| NPI number | 1891896148 |
|---|---|
| LBN Legal business name | Clark Family Dentistry |
| DBA Doing business as | |
| Authorized official | Clark, Paul A Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 26th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891896148 | NPPES |
| Louisiana | MEDICAID | 1844764 | |
| Louisiana | Other | A2217 |
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