Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY CLARK
ActiveLARRY CLARK is a General Dentistry healthcare provider located in BOSCOBEL, Wisconsin. NPI 1174945919 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BOSCOBEL, WI
Registration Details
- NPI Number
- 1174945919
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 14, 2014 (12.593345944394 yrs)
- Last Updated
- Jan 14, 2014
- License
-
5001678 (WI)
Practice Information
- Address
-
105 E BLUFF STBOSCOBEL, WI, 538051610Browse WI providers · Browse ZIP 53805
- Phone
- 6083754549
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in BOSCOBEL, WI
| Name | Credential | NPI |
|---|---|---|
| DR. KEITH W. NANCE | DDS | 1356361935 |
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.