Individual provider · Type 1 NPI
David Bryce Clark, DDS, M.S.D.
Orthodontics and Dentofacial Orthopedics Dentistry · Shelbyville, IN
Practice location
1530 S Miller St
Shelbyville, IN 46176-2949
Fax (317) 392-6196
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 12008231A (IN) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1013018803
David Bryce Clark, DDS, M.S.D.'s National Provider Identifier is 1013018803, issued on Sep 26, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Shelbyville, IN. The record was last updated on Jul 8, 2007.