Individual provider · Type 1 NPI
Michael V. Clark, DDS
Pediatric Dentistry · Cheyenne, WY
NPI number
1386778520
Active
Practice location
6900 Yellowtail Rd, Suite 100
Cheyenne, WY 82009-6102
Fax (307) 635-9218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 1108 (WY) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3 other providers at this address
Other pediatric dentistry providers in Cheyenne
About NPI 1386778520
Michael V. Clark, DDS's National Provider Identifier is 1386778520, issued on Mar 16, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Cheyenne, WY. The record was last updated on Jul 8, 2007.