Individual provider · Type 1 NPI
Timothy Paul Clark, DDS
General Practice Dentistry · Becker, MN
NPI number
1194800946
Active
Practice location
12392 Pleasant Ave.
Becker, MN 55308-0098
Fax (763) 262-5351
Mailing address
PO Box 98, 12392 Pleasant Ave.
Becker, MN 55308-0098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 10140 (MN) |
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.
About NPI 1194800946
Timothy Paul Clark, DDS's National Provider Identifier is 1194800946, issued on Oct 26, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Becker, MN. The record was last updated on Jul 8, 2007.