Search › Pennsylvania › 1223S0112X
Richard Clark, DDS
NPI 1942249545 · on the registry since 2006
Practice
- Address
- 2300 Garrett Rd
Drexel Hill, PA 19026 - Phone
- (610) 623-4211
- Fax
- (610) 623-2850
- Organisation at this address
- Suburban Oral Surgery Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 204E00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-22
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 Pennsylvania