Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TINA MARIE CLARK
ActiveTINA MARIE CLARK is a Dental Assistant healthcare provider located in PORTSMOUTH, Ohio. NPI 1790460814 is currently active in the NPPES registry. Verify at CMS.
Dental Assistant · PORTSMOUTH, OH
Registration Details
- NPI Number
- 1790460814
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 16, 2023 (2.9756787090389 yrs)
- Last Updated
- Jun 16, 2023
- License
-
51.015003 (OH)
Practice Information
- Address
-
1539 JACKSON STPORTSMOUTH, OH, 456624480Browse OH providers · Browse ZIP 45662
- Phone
- 7409816276
- 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.