Kenneth C. Clark Dds,Ms

LBN: Kenneth C. Clark Dds,Ms
Kenneth C. Clark Dds,Ms is an health care organization with primary practice located at 2524 Hillside Heights Dr , Green Bay WI 54311-6777. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Kenneth C. Clark Dds,Ms can be contacted via phone (920) 246-6118, or through Clark, Kenneth Charles via phone (920) 246-6118.

Contact Information

Primary practice address
2524 Hillside Heights Dr Green Bay WI 54311-6777
Phone: (920) 246-6118
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Kenneth Charles D.D.S., M.S.
Phone: (920) 246-6118

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 3707-15 Wisconsin

Profile Details

NPI number 1639568603
LBN Legal business name Kenneth C. Clark Dds,Ms
DBA Doing business as
Authorized official Clark, Kenneth Charles D.D.S., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2015
Last updated Jan 14th, 2015 - about 10 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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