Organization · Type 2 NPI

Kristin D. Clark Dds, Ms, PA

Orthodontics and Dentofacial Orthopedics Dentistry · North Little Rock, AR

NPI number 1700215175 Active

Practice location

5503 John F. Kennedy Blvd.
North Little Rock, AR 72116

Fax (501) 758-4117

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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NPI record

NPI: 1700215175
Entity type: Organization (Type 2)
Issued: Nov 6, 2013
Last updated: Sep 13, 2022
Status: Active

Other names

<unavail>
Clark Orthodontics · doing business as
Clark Orthodontics · doing business as

Authorized official

Kristin D Clark, DDS, MS, PA
Doctor/owner
(501) 758-4112

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About NPI 1700215175

Kristin D. Clark Dds, Ms, PA's National Provider Identifier is 1700215175, issued on Nov 6, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in North Little Rock, AR. The record was last updated on Sep 13, 2022.