Individual provider · Type 1 NPI

John Rushford Clarke

Oral and Maxillofacial Surgery (Dentist) · Plantation, FL

NPI number 1972676989 Active

Practice location

817 S University Dr, Suite 103
Plantation, FL 33324-3309

Fax (954) 772-2569

Mailing address

5181 NE 19th Ave
Fort Lauderdale, FL 33308-3712

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN4272 (FL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1972676989

John Rushford Clarke's National Provider Identifier is 1972676989, issued on Nov 16, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Plantation, FL. The record was last updated on Jul 8, 2007.