Clark Oral & Facial Surgery

LBN: Clark Oral & Facial Surgery
Clark Oral & Facial Surgery is an health care organization with primary practice located at 1502 Locust St N Ste 103 , Twin Falls ID 83301-6375. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Clark Oral & Facial Surgery can be contacted via phone (208) 831-2900, or through Clark, Paul via phone (503) 927-6845.

Contact Information

Primary practice address
1502 Locust St N Ste 103 Twin Falls ID 83301-6375
Phone: (208) 831-2900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Paul DMD, MD
Phone: (503) 927-6845

Health care specialties

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

Profile Details

NPI number 1649040858
LBN Legal business name Clark Oral & Facial Surgery
DBA Doing business as
Authorized official Clark, Paul DMD, MD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2024
Last updated Jan 8th, 2024 - about 10 months 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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