DAVID K CLARK DDS - ORAL SURGERY ASSOCIATES-APDC – NPI #1497054613
Clinic/Center

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.

Health Care Provider Taxonomy Code for Clinic/Center

DAVID K CLARK DDS - ORAL SURGERY ASSOCIATES-APDC is an AHC clinic located in SHREVEPORT, LA. NPPES has assigned the NPI number 1497054613 to DAVID K CLARK DDS - ORAL SURGERY ASSOCIATES-APDC on March 28, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is ORAL SUGERY ASSOCIATES. The primary taxonomy selected by this provider is 261QS0112X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oral and Maxillofacial Surgery

The NPI profile was last updated on Jul 01, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAVID K CLARK DDS - ORAL SURGERY ASSOCIATES-APDC below.

NPI Profile for
DAVID K CLARK DDS - ORAL SURGERY ASSOCIATES-APDC

NPI Number
1497054613
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DAVID K CLARK DDS - ORAL SURGERY ASSOCIATES-APDC
Former Legal Business Name: ORAL SUGERY ASSOCIATES
Primary location
2120 BERT KOUNS LOOP STE D
SHREVEPORT, LA 71118-3351
Phone: (318) 687-9800 Fax: (318) 687-4752
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TANDY PARISH
OFFICE MANAGER
Phone: (318) 687-9800
Updated
Certification Date
Jul 01, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS0112X
- Clinic/Center / Oral and Maxillofacial Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.