Individual
DR. H. DANIEL CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
3000 STANSBERRY LN, SUITE 101, FRANKLIN, TN 37069
(615) 591-0919
(615) 599-6762
Mailing address
3000 STANSBERRY LN, SUITE 101, FRANKLIN, TN 37069-5125
(615) 591-0919
(615) 599-6762
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS0000008111
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD0000037255
TN
Other
Enumeration date
10/17/2005
Last updated
03/22/2013
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