Individual provider · Type 1 NPI

Shane Thomas Clark, DMD

Endodontics · Albuquerque, NM

NPI number 1003220203 Active

Practice location

2800 Coors Blvd NW
Albuquerque, NM 87120-1204

Mailing address

8400 Oakland Ave NE
Albuquerque, NM 87122-2721

Specialties and licenses

TaxonomyCodeLicense
Endodontics Primary 1223E0200XDD4100 (NM)

Endodontics: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

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About NPI 1003220203

Shane Thomas Clark, DMD's National Provider Identifier is 1003220203, issued on Jun 16, 2014. The primary taxonomy on file is Endodontics (1223E0200X), and the practice location is in Albuquerque, NM. The record was last updated on Sep 26, 2015.