Organization · Type 2 NPI

John S. Clark, Apdc

Orthodontics and Dentofacial Orthopedics Dentistry · Gulfport, MS

NPI number 1750508479 Active

Practice location

411 Security Sq
Gulfport, MS 39507-1922

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XOR-050-82 (MS)

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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About NPI 1750508479

John S. Clark, Apdc's National Provider Identifier is 1750508479, issued on Apr 20, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Gulfport, MS. The record was last updated on Sep 28, 2010.