person
Dr. Michael V. Clark, DDS
Pediatric Dentist in Cheyenne, Wyoming
NPI 1386778520

Michael V. Clark is a Pediatric Dentist based in Cheyenne, WY and is specialized in Pediatric Dentistry. Michael V. Clark practices in Cheyenne, WY and has the professional credentials of DDS. The NPI Number for Michael V. Clark is 1386778520 and holds a License No. 1108 (Wyoming).

The current practice location address for Michael V. Clark is 6900 Yellowtail Rd, Cheyenne, WY and can be reached out via phone at 307-635-9251 and via fax at 307-635-9218. You can also correspond with Michael V. Clark through the mailing address at 6900 YELLOWTAIL RD, CHEYENNE, WY - 82009-6102 (mailing address contact number: 307-635-9251).

Location: 6900 Yellowtail Rd, Cheyenne, WY, 82009-6102
person
Provider Profile Details
NPI Number
1386778520
Provider Name
Michael V. Clark
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6900 Yellowtail Rd, Cheyenne, WY, 82009-6102
Phone Number
307-635-9251
Fax Number
307-635-9218
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
119846700 05 WY
institution
Provider Business Practice Location Address Details
Address
6900 Yellowtail Rd
City
State
Zip
82009-6102
Phone Number
307-635-9251
Fax Number
307-635-9218
person
Provider Business Mailing Address Details
Address
6900 Yellowtail Rd
City
State
Zip
82009-6102
Phone Number
307-635-9251
Fax Number
307-635-9218
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
1108 (Wyoming)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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