Individual provider · Type 1 NPI

Teresa Marie Clark, R.D.A.

Dental Assistant · Fairview, TN

NPI number 1689759516 Active

Practice location

7218 Birch Bark Drive
Fairview, TN 37062

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000X3436 (TN)

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

About NPI 1689759516

Teresa Marie Clark, R.D.A.'s National Provider Identifier is 1689759516, issued on Oct 26, 2006. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Fairview, TN. The record was last updated on Jul 8, 2007.