Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH C. CLARK DDS,MS
Active OrganizationKENNETH C. CLARK DDS,MS is a Dental Clinic organization located in GREEN BAY, Wisconsin. NPI 1639568603 is currently active in the NPPES registry. Verify at CMS.
Dental Clinic · GREEN BAY, WI
Registration Details
- NPI Number
- 1639568603
- Provider Type
- Organization
- NPI Issued
- Jan 14, 2015 (11.612264665103 yrs)
- Last Updated
- Jan 14, 2015
- License
-
3707-15 (WI)
Practice Information
- Address
-
2524 HILLSIDE HEIGHTS DRGREEN BAY, WI, 543116777Browse WI providers · Browse ZIP 54311
- Phone
- 9202466118
- Primary Specialty
-
Dental Clinic
261QD0000X
Other Dental Clinic Organizations in GREEN BAY, WI
| Name | NPI |
|---|---|
| DENTAL ARTS ASSOCIATES OF GREEN BAY LTD | 1326173006 |
| LOMBARDI DENTAL, LLC | 1720118854 |
| DR JOHN J QUINLAN S.C. | 1851423354 |
| NORTHEAST WISCONSIN TECHNICAL COLLEGE | 1972793818 |
| FAMILIA DENTAL GREEN BAY EAST LLC | 1194188706 |
| ECHO RIDGE DENTAL CLINIC | 1861848293 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.