Individual
DR. JAMES M. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 HEATHERBROOKE PARK DR, SUITE A, BIRMINGHAM, AL 35242-8093
(205) 991-9535
Mailing address
100 HEATHERBROOKE PARK DR, SUITE A, BIRMINGHAM, AL 35242-8093
(205) 991-9535
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3834
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL3834
ALA. DENTAL LICENSE
AL
Enumeration date
12/04/2006
Last updated
07/09/2007
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