NPI 1013018803 · live from the CMS NPI Registry
David Bryce Clark, D.D.S., M.S.D.
Dentist, Orthodontics and Dentofacial Orthopedics in Shelbyville, IN. National Provider Identifier 1013018803, active.
NPI record
| NPI | 1013018803 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1530 S Miller St, Shelbyville, IN 46176 |
| Practice phone | 317-392-6166 |
| Mailing address | 1530 S Miller St, P.O. Box 234, Shelbyville, IN 46176 |
| Enumerated | September 26, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12008231A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.