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

DR. DAVID MICHAEL CLARK, D.M.D

Active Sole Proprietor

DR. DAVID MICHAEL CLARK, D.M.D is a Oral & Maxillofacial Surgery healthcare provider located in SOUTH ABINGTON TOWNSHIP, Pennsylvania. NPI 1619919685 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · SOUTH ABINGTON TOWNSHIP, PA

Registration Details

NPI Number
1619919685
Provider Type
Individual
Gender
Male
NPI Issued
Jun 12, 2006 (20.214674762946 yrs)
Last Updated
Jan 7, 2016
Licenses
DA 026947 A (PA)
DS 026947 L (PA)
046057-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
799 NORTHERN BLVD
SOUTH ABINGTON TOWNSHIP, PA, 184119087
Browse PA providers · Browse ZIP 18411
Phone
5705861700
Fax
5705861900
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery
Additional Specialty
Oral & Maxillofacial Surgery
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.