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John Clark, D.D.S
NPI 1699864520 · on the registry since 2006
Practice
- Address
- 411 Security Sq
Gulfport, MS 39507 - Phone
- (228) 896-8355
- Organisation at this address
- John S. Clark, Apdc
Devereux & Nguyen Gulfport PllcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Also registered as
- 122300000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-09-28
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 Mississippi