Individual provider · Type 1 NPI

Ryan James Clark, DDS

General Practice Dentistry · Boise, ID

NPI number 1356639892 Active

Practice location

580 W Parkcenter Blvd Ste B
Boise, ID 83706

Call (208) 336-8478 Map

Fax (208) 342-2703

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X4375 (ID)

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 1356639892

Ryan James Clark, DDS's National Provider Identifier is 1356639892, issued on Jul 19, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boise, ID. The record was last updated on Jul 19, 2011.