Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RACHEL C CLARK, DDS
ActiveDR. RACHEL C CLARK, DDS is a Dentist healthcare provider located in CENTURIA, Wisconsin. NPI 1215669239 is currently active in the NPPES registry. Verify at CMS.
Dentist · CENTURIA, WI
Registration Details
- NPI Number
- 1215669239
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2022 (4.1127597488246 yrs)
- Last Updated
- Jun 28, 2022
- License
-
6001022-15 (WI)
Practice Information
- Address
-
601 WISCONSIN AVE # 35CENTURIA, WI, 548249042Browse WI providers · Browse ZIP 54824
- Phone
- 7156462161
- Primary Specialty
-
Dentist
122300000X
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.