Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERESA MARIE CLARK, R.D.A.
ActiveTERESA MARIE CLARK, R.D.A. is a Dental Assistant healthcare provider located in FAIRVIEW, Tennessee. NPI 1689759516 is currently active in the NPPES registry. Verify at CMS.
Dental Assistant · FAIRVIEW, TN
Registration Details
- NPI Number
- 1689759516
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2006 (19.817771940375 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3436 (TN)
Practice Information
- Address
-
7218 BIRCH BARK DRIVEFAIRVIEW, TN, 37062Browse TN providers · Browse ZIP 37062
- Phone
- 6157995438
- Primary Specialty
-
Dental Assistant
126800000X
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.