Michael Clark, DDS

NPI 1386778520 · on the registry since 2007

Practice

Address: 6900 Yellowtail Rd
Suite 100
Cheyenne, WY 82009
Phone: (307) 635-9251
Fax: (307) 635-9218
Organisation at this address: Braces U Wyoming Pc
Children'S Dentistry Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Pediatric Dentistry
1223P0221X
Licence states on file: WY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming