DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LANCE D. CLARK, DMD

Active Sole Proprietor

DR. LANCE D. CLARK, DMD is a Dentist healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1194960914 is currently active in the NPPES registry. Verify at CMS.

Dentist · ALBUQUERQUE, NM

Registration Details

NPI Number
1194960914
Provider Type
Individual
Gender
Male
NPI Issued
Dec 8, 2008 (17.665963202347 yrs)
Last Updated
Jan 23, 2012
Licenses
DD3584 (NM)
1206 (WY)
Sole Proprietor
Yes

Practice Information

Address
1698 RIO BRAVO BLVD SW
ALBUQUERQUE, NM, 871056027
Browse NM providers · Browse ZIP 87105
Phone
5052472717
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in ALBUQUERQUE, NM

Name Credential NPI
JONATHAN Y CHIANG DDS 1598768129
DR. PAUL MARTIN CLIFFORD DDS 1134124126
DR. ALICIA ANN ABEYTA DDS 1942298047
DR. CLIFFORD FREIDLINE DDS 1154310928
CHARLES E TILSON DMD 1619966314
BRENTON MATTHEW MASON DMD 1336138031
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.