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Dr. Timothy Paul Clark, DDS
General Practice Dentistry in Becker, Minnesota
NPI 1194800946

Timothy Paul Clark is a General Practice Dentistry based in Becker, MN and is specialized in General Practice. Timothy Paul Clark practices in Becker, MN and has the professional credentials of DDS. The NPI Number for Timothy Paul Clark is 1194800946 and holds a License No. 10140 (Minnesota).

The current practice location address for Timothy Paul Clark is 12392 Pleasant Ave., Becker, MN and can be reached out via phone at 763-261-5350 and via fax at 763-262-5351.

Location: 12392 Pleasant Ave., Becker, MN, 55308-0098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194800946
Provider Name
Timothy Paul Clark
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
12392 Pleasant Ave., Becker, MN, 55308-0098
Phone Number
763-261-5350
Fax Number
763-262-5351
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6B403CL 01 MN BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
12392 Pleasant Ave.
City
Becker
State
Minnesota
Zip
55308-0098
Phone Number
763-261-5350
Fax Number
763-262-5351
person
Provider Business Mailing Address Details
Address
12392 Pleasant Ave.
City
Becker
State
Minnesota
Zip
55308-0098
Phone Number
763-261-5350
Fax Number
763-262-5351
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
10140 (Minnesota)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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