Individual provider · Type 1 NPI

Candice Ella Clark, DDS

General Practice Dentistry · Farmington, NM

NPI number 1124018379 Active

Practice location

141 W 20th St
Farmington, NM 87401-3401

Call (505) 325-7121 Map

Fax (505) 564-3005

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDD2673 (NM)

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.

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About NPI 1124018379

Candice Ella Clark, DDS's National Provider Identifier is 1124018379, issued on Oct 27, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Farmington, NM. The record was last updated on Aug 20, 2026.