Individual
DR. ADAM DOUGLAS CLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
530 PLAZA DR STE J, COLUMBUS, IN 47201-2940
(812) 376-9335
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
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12010542A
IN
Other
Enumeration date
08/13/2005
Last updated
10/24/2024
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