Individual provider · Type 1 NPI

Clark Tobias Barco, DDS

Periodontics · Indianapolis, IN

NPI number 1710089792 Active

Practice location

1481 W 10th St, Rvamc, Dental Service (160)
Indianapolis, IN 46202-2803

Fax (317) 988-0245

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X12007214A (IN)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1710089792

Clark Tobias Barco, DDS's National Provider Identifier is 1710089792, issued on Sep 1, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 8, 2007.