John S. Clark, Apdc
Orthodontic practice in Gulfport, MS
Registered orthodontistLicense # listed (MS)
Public-record details
- Address
- 411 Security Sq, Gulfport, MS 39507
- Phone
- (228) 896-8355
- Listed under
- Orthodontic practices
- NPI
- 1750508479
- NPI status
- Active in the NPPES registry
- Provider type
- Organization (practice, clinic or company)
- Registered specialty (self-reported taxonomy)
- Orthodontics and Dentofacial Orthopedics (1223X0400X)
- License number on NPI record
- OR-050-82 (MS)
- Authorized official
- John Clark, DDS, President
- NPI first issued
- Apr 20, 2007
- NPI record last updated
- Sep 28, 2010
What these registry facts mean
Checking credentials: the specialty shown is the one this provider registered with the NPI system. Your state dental board's license lookup confirms the license, and the American Board of Orthodontics lists board-certified orthodontists.
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