Clark Orthodontics

LBN: Kristin D. Clark Dds, Ms, Pa
Clark Orthodontics is an health care organization with primary practice located at 5503 John F. Kennedy Blvd. , North Little Rock AR 72116. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Kristin D. Clark Dds, Ms, Pa can be contacted via phone (501) 758-4112, or through Clark, Kristin D via phone (501) 758-4112.

Contact Information

Primary practice address
5503 John F. Kennedy Blvd. North Little Rock AR 72116
Phone: (501) 758-4112
Fax: (501) 758-4117
Website:
Map and Directions
Authorized official contact:
Name: Clark, Kristin D DDS, MS, PA
Phone: (501) 758-4112

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1700215175
LBN Legal business name Kristin D. Clark Dds, Ms, Pa
DBA Doing business as Clark Orthodontics
Authorized official Clark, Kristin D DDS, MS, PA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2013
Last updated Sep 13th, 2022 - about 3 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 1700215175 NPPES
Arkansas MEDICAID 200527631

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