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Dr. Glen Thomas Clark, DDS
Dentist in Los Angeles, California
NPI 1740339233

Glen Thomas Clark is a Dentist based in Los Angeles, CA. Glen Thomas Clark practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Glen Thomas Clark is 1740339233 and holds a License No. 24282 (California).

The current practice location address for Glen Thomas Clark is 925 W 34Th St, Los Angeles, CA and can be reached out via phone at 213-740-7405.

Location: 925 W 34Th St, Los Angeles, CA, 90089-0641
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Provider Profile Details
NPI Number
1740339233
Provider Name
Glen Thomas Clark
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
925 W 34Th St, Los Angeles, CA, 90089-0641
Phone Number
213-740-7405
Fax Number
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00182356 01 CA RAILROAD MEDICARE
G100701 01 CA DENTICAL
ZZZ34010A 01 CA BLUE CROSS BLUE SHIELD
U0100701 01 CA DENTICAL
institution
Provider Business Practice Location Address Details
Address
925 W 34Th St
City
State
Zip
90089-0641
Phone Number
213-740-7405
Fax Number
person
Provider Business Mailing Address Details
Address
925 W 34Th St
City
State
Zip
90089-0641
Phone Number
213-740-7405
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
License No.
24282 (California)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
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Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Pathology
Taxonomy
License No.
24282 (California)
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
24282 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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