Dr. Glen Thomas Clark is a Los Angeles, California based Oral and Maxillofacial Pathologist who is specialized in Oral and Maxillofacial Pathology. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Glen Thomas Clark is 24282 for Dentistry in California. His current practice location is 925 W 34th St, Room #151, Los Angeles. Patients can reach him at 213-740-7405.
Dr. Glen Thomas Clark is specialized in that branch of dentistry and pathology which deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Complete Profile:
Dr. Glen Thomas Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Glen Thomas Clark
Specialization:
Oral and Maxillofacial Pathologist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
925 W 34th St, Room #151, Los Angeles, California, 90089-0641
Phone:
213-740-7405
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 are as mentioned below.
NPI Number:
1740339233
NPI Enumeration Date:
10 Jan, 2007
NPI Last Update On:
05 Dec, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Glen Thomas Clark are as mentioned below.
License Number
Specialization
State
Status
24282
Dentistry
California
Primary
24282
Oral and Maxillofacial Pathology
California
Secondary
24282
Oral and Maxillofacial Surgery
California
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Glen Thomas Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P00182356
Other
California
RAILROAD MEDICARE
G100701
Other
California
DENTICAL
ZZZ34010A
Other
California
BLUE CROSS BLUE SHIELD
U0100701
Other
California
DENTICAL
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
925 W 34th St, Room #151 Los Angeles, California
Zip:
90089-0641
Phone Number:
213-740-7405
Patients can reach Dr. Glen Thomas Clark at 925 W 34th St, Room #151, Los Angeles, California or can call to book an appointment on 213-740-7405. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.