John Nicholas Clark D.d.s., PA

NPI #1992056998 in Conway, Arkansas

Provider Information

NPI Number: 1992056998
Entity Type: Organization
Organization Name: John Nicholas Clark D.d.s., PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 1, 2012
Last Updated: Oct 1, 2012

Practice Location

Address: 810 LOCUST ST
City: Conway
State: Arkansas
ZIP Code: 72034-5331
Phone: (501) 327-4589

Authorized Official

Name: DR. JOHN NICHOLAS CLARK, D.D.S.
Title: PRESIDENT
Phone: (479) 466-3834

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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