Individual
DR. MATTHEW CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
55 W RED OAK LN, W HARRISON, NY 10604-3608
(914) 500-8985
(914) 500-8986
Mailing address
55 W RED OAK LN, W HARRISON, NY 10604-3608
(914) 500-8985
(914) 500-8986
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
057328
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
11099
CT
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
057328
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
11099
CT
Other
Enumeration date
06/15/2008
Last updated
02/05/2026
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