Organization · Type 2 NPI

Donald E. Clarke, D.d.s., Inc.

Dental Clinic/Center · Folsom, CA

NPI number 1083362537 Active

Practice location

25005 Blue Ravine Rd Ste 100
Folsom, CA 95630-5706

Call (916) 600-3719 Map

Mailing address

3901 Marconi Ave
Sacramento, CA 95821-3902

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

Other dental clinic/center providers in Folsom

See all in Folsom →

NPI record

NPI: 1083362537
Entity type: Organization (Type 2)
Issued: Mar 14, 2022
Last updated: May 16, 2022
Status: Active

Other names

<unavail>
Dental Source of California · doing business as
Dental Source of California · doing business as

Authorized official

Dr. Donald Clarke, DDS
President of Corporation
(916) 487-0117

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1083362537

Donald E. Clarke, D.d.s., Inc.'s National Provider Identifier is 1083362537, issued on Mar 14, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Folsom, CA. The record was last updated on May 16, 2022.