Individual provider · Type 1 NPI
David Kyle Clark, DDS
Oral and Maxillofacial Surgery (Dentist) · Shreveport, LA
NPI number
1548427693
Active
Practice location
2120 Bert Kouns Loop Ste D
Shreveport, LA 71118-3351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 6204 (LA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
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About NPI 1548427693
David Kyle Clark, DDS's National Provider Identifier is 1548427693, issued on May 16, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Shreveport, LA. The record was last updated on Jul 13, 2011.