Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE THOMAS CLARK, DMD
ActiveDR. SHANE THOMAS CLARK, DMD is a Endodontics healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1003220203 is currently active in the NPPES registry. Verify at CMS.
Endodontics · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1003220203
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2014 (12.145509646959 yrs)
- Last Updated
- Sep 26, 2015
- License
-
DD4100 (NM)
Practice Information
- Address
-
2800 COORS BLVD NWALBUQUERQUE, NM, 871201204Browse NM providers · Browse ZIP 87120
- Phone
- 5053521166
- Primary Specialty
-
Endodontics
1223E0200X
Other Endodontics Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN D JENKINS | DDS | 1336111319 |
| KENNETH ELLIS BRAY | DMD | 1497728653 |
| CHARLES J GOODIS | DDS | 1821157041 |
| DR. BRIAN R PAPWORTH | DDS MS | 1851450175 |
| DR. MICHAEL E. CRABTREE | DDS | 1598824393 |
| DR. ROBERT STEVEN LASH | D.D.S. , P.C. | 1508926692 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.