Dr Patricia H Clark

LBN: Terre Haute Endodontics Pc
Dr Patricia H Clark is an health care organization with primary practice located at 221 S 19Th St , Terre Haute IN 47807-4129. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Terre Haute Endodontics Pc can be contacted via phone (812) 235-1598, or through Clark, Patricia H via phone (812) 235-1598.

Contact Information

Primary practice address
221 S 19Th St Terre Haute IN 47807-4129
Phone: (812) 235-1598
Fax: (812) 235-1999
Website:
Map and Directions
Authorized official contact:
Name: Clark, Patricia H DDS MSD
Phone: (812) 235-1598

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X

Profile Details

NPI number 1730116112
LBN Legal business name Terre Haute Endodontics Pc
DBA Doing business as Dr Patricia H Clark
Authorized official Clark, Patricia H DDS MSD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 23rd, 2008 - about 18 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 1730116112 NPPES
Indiana MEDICAID 100065720A

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