Organization
W.A. CLARK D.D.S., P.L.L.C.
Active
Other names
Clark Pediatric Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLE CLARK (OFFICE MANAGER)
(405) 503-9615
Entity
Organization
Contact information
Practice address
1813 EASTCHESTER DR, SUITE 100, HIGH POINT, NC 27265-1573
(405) 503-9615
Mailing address
612 BELLEMEADE ST, GREENSBORO, NC 27401-1903
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8057
NC
Other
Enumeration date
03/20/2016
Last updated
03/20/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up