DR. Shane Thomas Clark DMD

  • NPI 1003220203
According to our database, the NPI number for DR. Shane Thomas Clark DMD is 1003220203 and activated since 9 years ago. DR. Shane Thomas Clark DMD is an individual provider who specializes in Endodontics, and the primary practice location is 2800 Coors Blvd Nw, Albuquerque, NM 87120. You can also contact DR. Shane Thomas Clark DMD via telephone number is (505) 352-1166. Provider NPI information was last updated on 09/26/2015.

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Overview of DR. Shane Thomas Clark DMD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/16/2014
  • Last updated: 09/26/2015

Primary Scrop of Practice

  • Taxonomy Code: 1223E0200X
  • Specialty: Endodontics
  • License Number: DD4100
  • License State: NM

Provider Mailing Address

  • Address: 8400 Oakland Ave Ne
    Albuquerque, NM 87122
  • Phone: 512-689-8382
  • Fax:

Provider Practice Location

  • Address: 2800 Coors Blvd Nw
    Albuquerque, NM 87120
  • Phone: 505-352-1166
  • Fax:

Scope of Practice

  • Taxonomy Code: 1223E0200X
  • Specialty: Endodontics
  • License Number: DD4100
  • License State: NM
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Shane Thomas Clark DMD?
  • A: The npi number for DR. Shane Thomas Clark DMD is 1003220203.
  • Q: What are DR. Shane Thomas Clark DMD's specialties?
  • A: DR. Shane Thomas Clark DMD's specialties are Endodontics and different specialities.
  • Q: What is the medical license for DR. Shane Thomas Clark DMD?
  • A: The medical license number for DR. Shane Thomas Clark DMD is DD4100 and issued in NM in USA.
  • Q: Where is DR. Shane Thomas Clark DMD practice location?
  • A: DR. Shane Thomas Clark DMD is practicing at 2800 Coors Blvd Nw, Albuquerque, NM 87120.
  • Q: How to contact DR. Shane Thomas Clark DMD?
  • A: You can contact DR. Shane Thomas Clark DMD via 505-352-1166.