Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CANDICE ELLA CLARK, DDS
ActiveDR. CANDICE ELLA CLARK, DDS is a General Dentistry healthcare provider located in FARMINGTON, New Mexico. NPI 1124018379 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FARMINGTON, NM
Registration Details
- NPI Number
- 1124018379
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 27, 2005 (20.758344141369 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DD2673 (NM)
Practice Information
- Address
-
506 AIRPORT DRFARMINGTON, NM, 874012602Browse NM providers · Browse ZIP 87401
- Phone
- 5053257700
- Fax
- 5053275710
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in FARMINGTON, NM
| Name | Credential | NPI |
|---|---|---|
| DR. JULIUS NICHOLAS MANZ | DDS | 1992701601 |
| DR. EDWARD E NEUBAUER | DDS | 1497745749 |
| PETER JOHN DEBUCK | DMD | 1013976232 |
| DR. JACK OWEN SMALLEY | D.D.S. | 1487611331 |
| DR. WARREN KIRKLAND GRAHAM | DDS | 1912923566 |
| KENNETH JARED LUSK | D.D.S. | 1437164233 |
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.