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Search › Oklahoma › 122300000X

Benjamin Clark, DMD

NPI 1699180448 · on the registry since 2014 · sole proprietor

Practice

Address
1220 N Washington Ave
Durant, OK 74701
Phone
(580) 745-5400
Organisation at this address
Magnolia Smiles
Purify Dental Of Durant Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-30

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 Oklahoma