Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PAUL M. CLARK JR., DDS
ActiveDR. PAUL M. CLARK JR., DDS is a Orthodontics & Dentofacial Orthopedics healthcare provider located in SHREVEPORT, Louisiana. NPI 1386758936 is currently active in the NPPES registry. Verify at CMS.
Orthodontics & Dentofacial Orthopedics · SHREVEPORT, LA
Registration Details
- NPI Number
- 1386758936
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2006 (20.020281860245 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2432 (LA)
Practice Information
- Address
-
2120 BERT KOUNS INDUSTRIAL LOOPSUITE DSHREVEPORT, LA, 711183351Browse LA providers · Browse ZIP 71118
- Phone
- 3186879800
- Fax
- 3186874752
- Primary Specialty
-
Orthodontics & Dentofacial Orthopedics
1223P0106X
Other Orthodontics & Dentofacial Orthopedics Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| JOHN BRUCE LOWE | DDS | 1851360960 |
| MS. MARIA NASSAR | — | 1265302038 |
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.