| Richard Clark Dmd, Llc | |
|
222 S Newtown Street Rd Newtown Square PA 19073-4000 | |
| (610) 801-1502 | |
| (610) 648-2470 |
| Full Name | Richard Clark Dmd, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 222 S Newtown Street Rd, Newtown Square, Pennsylvania |
| Authorized Official Name and Position | Richard Joseph Clark (OWNER) |
| Authorized Official Contact | 6108011502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Clark Dmd, Llc 217 S Ithan Ave Bryn Mawr PA 19010-1044 Ph: () - | Richard Clark Dmd, Llc 222 S Newtown Street Rd Newtown Square PA 19073-4000 Ph: (610) 801-1502 |
| NPI Number | 1417743873 |
|---|---|
| Provider Enumeration Date | 04/15/2025 |
| Last Update Date | 04/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417743873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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