Active NPIOrganization

Heather M. Clark D.m.d PC

Dentist, General Practice in Northfield, New Jersey

NPI Number1063612224
Practice location
2311 New RD, Northfield, NJ 08225-1442
Fax
609-646-0151
Last updated
July 24, 2007

Heather M. Clark D.m.d PC is a healthcare organization based in Northfield, NJ. Heather M. Clark D.m.d PC practices in Northfield, NJ. The NPI Number for Heather M. Clark D.m.d PC is 1063612224 and holds a License No. DI20003 (NJ). The current practice location address for Heather M. Clark D.m.d PC is 2311 New RD, Northfield, NJ 08225-1442 and can be reached out via phone at 609-646-2501 and via fax at 609-646-0151.

Provider Profile Details

NPI Number
1063612224
Provider Name
Heather M. Clark D.m.d PC
Provider Entity Type
Organization
Address
2311 New RD, Northfield, NJ 08225-1442
Phone Number
609-646-2501
Fax Number
609-646-0151
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Jenny Hernandez · Assistant Office Manager · 609-646-2501
Provider Enumeration Date
July 24, 2007
Last Update Date
July 24, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2311 New RD
Northfield, NJ 08225-1442
Zip
08225-1442
Phone Number
609-646-2501
Fax Number
609-646-0151
Northfield, NJ 08225Get directions →

Provider Business Mailing Address Details

Address
2311 New RD
Northfield, NJ 08225-1442
City
Northfield
State
NJ
Zip
08225-1442
Phone Number
609-646-2501
Fax Number
609-646-0151

License Information

License Number
DI20003
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Heather M. Clark D.m.d PC?

The NPI number of Heather M. Clark D.m.d PC is 1063612224. It was assigned on July 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Heather M. Clark D.m.d PC?

Heather M. Clark D.m.d PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI20003.

Where does Heather M. Clark D.m.d PC practice?

The practice location is 2311 New RD, Northfield, NJ 08225-1442. The office can be reached at 609-646-2501 (phone) or 609-646-0151 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063612224 directly on the NPPES registry website.

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