Danielle Clark

NPI 1639548167 · on the registry since 2015

Practice

Address: 2810 Frank Scott Parkway West
Belleville, IL 62223
Phone: (618) 234-9705
Organisation at this address: Green Mount Dental, Llc
Trinity Healthcare Practice, Llc
Anesthesia Of Southern Illinois Llc
Southern Illinois Healthcare Foundation, Inc.
Marshmallows Hope Nonprofit Organization Corp.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 91

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-09-15

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 Illinois