L L Clark Dds Sc is a Dental Clinic in Boscobel, Wisconsin. It is located at 105 East Bluff Street, Boscobel, WI and its contact number is 608-375-4549. The authorized person for L L Clark Dds Sc is Dr. Larry Lee Clark
who is Dentist of the clinic and their contact number is 608-375-4549. The primary license number for L L Clark Dds Sc is 5001678015 (General Practice) in Wisconsin. L L Clark Dds Sc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
L L Clark Dds Sc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
L L Clark Dds Sc
Specialization:
General Practice Dentistry
Clinic Address:
105 East Bluff Street, Boscobel, Wisconsin, 53805-9802
Phone:
608-375-4549
Fax:
608-375-4665
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Larry Lee Clark
Position:
Dentist
Contact Number:
608-375-4549
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for L L Clark Dds Sc clinic are as mentioned below.
NPI Number:
1497713176
NPI Enumeration Date:
03 May, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for L L Clark Dds Sc are as mentioned below.
Specialization
License Number
State
Status
General Practice
5001678015
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
33549200
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
L L Clark Dds Sc 105 East Bluff Street, Boscobel, Wisconsin
Zip:
53805-9802
Phone Number:
608-375-4549
Fax Number:
608-375-4665
Patients can reach L L Clark Dds Sc at 105 East Bluff Street, Boscobel, Wisconsin or can call to book an appointment on 608-375-4549. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.