Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHAD MICHAEL CLARK, DDS, MS, BS
Active Sole ProprietorDentist · RIVERTON, WY
Registration Details
- NPI Number
- 1952050924
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 18, 2022 (4.0941326996564 yrs)
- Last Updated
- Nov 11, 2023
- License
-
1606 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
604 MEADOWLARK LNRIVERTON, WY, 825012214Browse WY providers · Browse ZIP 82501
- Phone
- 3073435676
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in RIVERTON, WY
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT DANA FOWLER | D.M.D. | 1811082795 |
| DR. COLTON JAMES CRANE | DMD | 1780898288 |
| DR. TERRIN MELVIN PORTER | D.D.S. | 1366758419 |
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.