npidexNPI registry + Medicare data

MICHAEL CLARK, DDS

Pediatric Dentistry · CHEYENNE, WY

Individual Active NPI 1386778520

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pediatric Dentistry1223P0221X✓1108WY

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.