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CLARK & VANOVERLOOP DDS PLLC NPI 1114323664


NPI Information

NPI: 1114323664
Provider Name: CLARK & VANOVERLOOP DDS PLLC

Doing Business As: CLARK AND VANOVERLOOP FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1915 GEORGETOWN CENTER DR
SUITE 101
JENISON, MI
ZIP 49428
Phone: (616) 457-6800
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CLARK & VANOVERLOOP DDS PLLC is a general practice dentist in Jenison, MI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CLARK & VANOVERLOOP DDS PLLC NPI is 1114323664. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Clark And Vanoverloop Family Dentistry.

The provider's business location address is:

1915 GEORGETOWN CENTER DR
SUITE 101
JENISON, MI
ZIP 49428-121
Phone: (616) 457-6800

The provider's authorized official is Aaron Samuel Clark .
The authorized official title is Dentist / Member and has the following contact phone number (616) 457-6800.

The enumeration date for this NPI number is 11/11/2014 and was last updated on 10/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeMICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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