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Elizabeth Jane Clark, DDS
General Practice Dentistry in Old Lyme, Connecticut
NPI 1407038128

Elizabeth Jane Clark is a General Practice Dentistry based in Old Lyme, CT and is specialized in General Practice. Elizabeth Jane Clark practices in Old Lyme, CT and has the professional credentials of DDS. The NPI Number for Elizabeth Jane Clark is 1407038128 and holds a License No. 009894 (Connecticut).

The current practice location address for Elizabeth Jane Clark is 19 Halls Rd Ste 218, Old Lyme, CT and can be reached out via phone at 860-434-7378.

Location: 19 Halls Rd Ste 218, Old Lyme, CT, 06371-1457
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407038128
Provider Name
Elizabeth Jane Clark
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
19 Halls Rd Ste 218, Old Lyme, CT, 06371-1457
Phone Number
860-434-7378
Fax Number
Provider Enumeration Date
12/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19 Halls Rd Ste 218
City
Old Lyme
State
Connecticut
Zip
06371-1457
Phone Number
860-434-7378
Fax Number
person
Provider Business Mailing Address Details
Address
19 Halls Rd Ste 218
City
Old Lyme
State
Connecticut
Zip
06371-1457
Phone Number
860-434-7378
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
009894 (Connecticut)
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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