Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEVIN CLARK
Active Sole ProprietorDR. DEVIN CLARK is a Dentist healthcare provider located in WINLOCK, Washington. NPI 1952893026 is currently active in the NPPES registry. Verify at CMS.
Dentist · WINLOCK, WA
Registration Details
- NPI Number
- 1952893026
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 4, 2018 (8.1718734092897 yrs)
- Last Updated
- Jan 7, 2020
- Licenses
-
11032 (NC)DE61007637 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
617 CEMETERY RDWINLOCK, WA, 985969303Browse WA providers · Browse ZIP 98596
- Phone
- 3607854755
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
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.