Individual provider · Type 1 NPI

H. Clark Iii

Dentist · Superior, WI

NPI number 1164800801 Active

Practice location

2101 Hill Ave
Superior, WI 54880-5260

Fax (715) 392-7474

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X5751-15 (WI)

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…

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About NPI 1164800801

H. Clark Iii's National Provider Identifier is 1164800801, issued on May 14, 2015. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Superior, WI. The record was last updated on May 14, 2015.