# TERRE HAUTE ENDODONTICS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr Patricia H Clark
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730116112
- **Authorized official:** DR. PATRICIA H CLARK DDS MSD (DR PATRICIA H CLARK)
- **Authorized official phone:** (812) 235-1598

## Contact information

- **Practice address:** 221 S 19TH ST, TERRE HAUTE, IN 47807-4129
- **Practice address phone:** (812) 235-1598
- **Practice address fax:** (812) 235-1999
- **Mailing address:** 221 S 19TH ST, TERRE HAUTE, IN 47807-4129
- **Mailing address phone:** (812) 235-1598
- **Mailing address fax:** (812) 235-1999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 07/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100065720A | — | IN |