Doctor Name: | ADAM M CLARK |
NPI Number: | 1003086224 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DMD |
License Number: | 3728545 |
Business Practice Address: | 1416 Ashley River Rd Atlantic Aesthetics Charleston, SC - 294075306 |
Business Phone Number: | 8437690488 |
Business Fax Number: | 8437690428 |
Mailing Address: | 1416 Ashley River Rd, Atlantic Aesthetics CHARLESTON |
State: | SC |
Postal Code: | 294075306 |
Phone Number: | 8437690488 |
Fax Number: | 8437690428 |
NPI Enumeration Date: | 03/04/2008 |
NPI Last Update Date: | 03/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0700X |
License Number: | 3728545 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Prosthodontics |
Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |