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Clark Family Dentistry
Dental Hygienist in Mandeville, Louisiana
NPI 1891896148

Clark Family Dentistry is a Dental Hygienist based in Mandeville, LA. Clark Family Dentistry practices in Mandeville, LA. The NPI Number for Clark Family Dentistry is 1891896148 and holds a License No. LA4476 (Louisiana).

The current practice location address for Clark Family Dentistry is 639 Lotus Dr N, Mandeville, LA and can be reached out via phone at 985-624-5449 and via fax at 985-674-0393.

Location: 639 Lotus Dr N, Mandeville, LA, 70471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891896148
Provider Name
Clark Family Dentistry
Credential
Provider Entity Type
Organization
Address
639 Lotus Dr N, Mandeville, LA, 70471
Phone Number
985-624-5449
Fax Number
985-674-0393
Provider Enumeration Date
09/26/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1844764 05 LA
A2217 01 BCBS OF LA
institution
Provider Business Practice Location Address Details
Address
639 Lotus Dr N
City
Mandeville
State
Louisiana
Zip
70471
Phone Number
985-624-5449
Fax Number
985-674-0393
person
Provider Business Mailing Address Details
Address
639 Lotus Dr N
City
Mandeville
State
Louisiana
Zip
70471
Phone Number
985-624-5449
Fax Number
985-674-0393
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
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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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
LA4476 (Louisiana)
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
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