Clark, James A

Clark, James A is an individual health care provider with primary practice located at 3650 Lake Otis Pkwy Suite 201, Anchorage AK 99508-5207. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Clark, James A can be contacted via phone (907) 561-1430.

Contact Information

Primary practice address
3650 Lake Otis Pkwy Suite 201 Anchorage AK 99508-5207
Phone: (907) 561-1430
Fax: (907) 561-2697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 389 Alaska

Profile Details

NPI number 1376557736
LBN Legal business name Clark, James A
Credentials DMD,MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376557736 NPPES
Alaska MEDICAID DD0389
Alaska Other 831476

Popular Providers