Individual provider · Type 1 NPI
Grace Xinxing Clark, DDS
General Practice Dentistry · Fort Wayne, IN
NPI number
1407360910
Active
Practice location
4716 Illinois Rd Ste 101
Fort Wayne, IN 46804-5123
Mailing address
5120 Brookstone Way
Indianapolis, IN 46268-5417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 12012818A (IN) |
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.
4 other providers at this address
Other general practice dentistry providers in Fort Wayne
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- Lora Wonderly, DMDGeneral Practice Dentistry Fort Wayne, IN NPI 1013207265
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- Parker Durant Groom, DDSGeneral Practice Dentistry Fort Wayne, IN NPI 1023701182
- Eli Bertram Allen, DDSGeneral Practice Dentistry Fort Wayne, IN NPI 1033040092
- Benjamin Clinkenbeard, DDSGeneral Practice Dentistry Fort Wayne, IN NPI 1033210703
- George R. Cooper, DDSGeneral Practice Dentistry Fort Wayne, IN NPI 1053423731
- Zelalem Bogale AmareGeneral Practice Dentistry Fort Wayne, IN NPI 1063116572
About NPI 1407360910
Grace Xinxing Clark, DDS's National Provider Identifier is 1407360910, issued on Nov 20, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 12, 2018.