Individual provider · Type 1 NPI
Theodore Glenn Clark, DDS
Dentist · Winston-Salem, NC
Practice location
3165 Maplewood Avenue
Winston-Salem, NC 27103
Fax (336) 774-1063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 6127 (NC) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
Other dentist providers in Winston-Salem
About NPI 1144321936
Theodore Glenn Clark, DDS's National Provider Identifier is 1144321936, issued on Sep 26, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Winston-Salem, NC. The record was last updated on Jul 8, 2007.