Individual provider · Type 1 NPI

Edward Mark Clark, DDS

General Practice Dentistry · Cheyenne, WY

NPI number 1205843604 Active

Practice location

5211 Yellowstone Rd, Ste # 1
Cheyenne, WY 82009-4761

Call (307) 634-7633 Map

Fax (307) 634-7664

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X750 (WY)

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 1205843604

Edward Mark Clark, DDS's National Provider Identifier is 1205843604, issued on Aug 1, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Cheyenne, WY. The record was last updated on Jul 8, 2007.