Organization
ADAM D. CLOCK, D.D.S., L.L.C.
Active
Other names
Tipton Park Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM DOUGLAS CLOCK D.D.S. (OWNER/PRESIDENT/MEMBER)
(812) 376-9335
Entity
Organization
Contact information
Practice address
530 PLAZA DR STE J, COLUMBUS, IN 47201-2940
(812) 376-9335
(812) 376-9298
Mailing address
530 PLAZA DR STE J, COLUMBUS, IN 47201-2940
(812) 376-9335
(812) 376-9298
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010542A
IN
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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