Individual
CALEB CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5213 W NAPOLEON AVE, METAIRIE, LA 70001-2266
(504) 455-2182
Mailing address
1712 RIDGEWOOD PL, VESTAVIA HILLS, AL 35216-1630
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D.007465-C1
AL
1223G0001X
General Practice Dentistry
7812
LA
Other
Enumeration date
07/07/2025
Last updated
06/04/2026
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