# CLARK DENTAL STUDIO, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336596196
- **Authorized official:** DR. MATTHEW CLARK DDS (DENTIST/OWNER)
- **Authorized official phone:** (731) 431-5613

## Contact information

- **Practice address:** 951 RIVERFRONT PKWY, \#303, CHATTANOOGA, TN 37402-2185
- **Practice address phone:** (423) 266-7927
- **Mailing address:** 951 RIVERFRONT PKWY, \#303, CHATTANOOGA, TN 37402-2185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 9483 | TN | Yes |

## Other

- **Enumeration date:** 05/20/2016
- **Last updated:** 05/20/2016