Individual provider · Type 1 NPI
Bradley J. Clark, DDS
General Practice Dentistry · Broken Bow, NE
NPI number
1114052966
Active
Practice location
310 S 9th Ave
Broken Bow, NE 68822-2014
Mailing address
PO Box 117, 310 South 9th Ave.
Broken Bow, NE 68822-0117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 6126 (NE) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Other general practice dentistry providers in Broken Bow
About NPI 1114052966
Bradley J. Clark, DDS's National Provider Identifier is 1114052966, issued on Feb 22, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Broken Bow, NE. The record was last updated on Jul 8, 2007.