Individual provider · Type 1 NPI
Raymond B. Clark, D.D.S
General Practice Dentistry · Jackson, MI
NPI number
1720118359
Active
Practice location
1520 Horton Rd
Jackson, MI 49203-5127
Fax (517) 784-2115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 016724 (MI) |
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.
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About NPI 1720118359
Raymond B. Clark, D.D.S's National Provider Identifier is 1720118359, issued on Mar 6, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jackson, MI. The record was last updated on Jul 8, 2007.