Individual
DR. JAMES A CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD,MS
Contact information
Practice address
3650 LAKE OTIS PKWY, SUITE 201, ANCHORAGE, AK 99508-5207
(907) 561-1430
(907) 561-2697
Mailing address
3650 LAKE OTIS PKWY, SUITE 201, ANCHORAGE, AK 99508-5207
(907) 561-1430
(907) 561-2697
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
389
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
831476
TRI-CARE ID
AK
05
—
DD0389
—
AK
Enumeration date
07/28/2006
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us