L L CLARK DDS SC
NPI 1497713176
Dentist - General Practice in Boscobel, WI

Q: What is L L Clark Dds Sc's NPI number?

The NPI number for L L Clark Dds Sc is 1497713176. It was assigned to this organization in the NPPES registry on May 3, 2006.

Q: What is L L Clark Dds Sc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for L L Clark Dds Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 03, 2006

105 EAST BLUFF STREET, BOSCOBEL, WI 53805(608) 375-4549(608) 375-4665 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About L L Clark Dds Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

L L CLARK DDS SC (NPI 1497713176) is a healthcare organization registered as a general practice in Boscobel, Wisconsin and active in the NPI registry since May 2006. The organization lists Larry Lee Clark, Dentist, as its authorized official.

NPPES Registry Identity

NPI1497713176

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameL L CLARK DDS SC

Location Address105 EAST BLUFF STREETBoscobel, WI 53805-9802

Mailing Address105 East Bluff StreetBoscobel, WI 53805-9802 · (608) 375-4549 · Fax (608) 375-4665

Phone(608) 375-4549

Fax(608) 375-4665

Organization SubpartNo

Authorized OfficialLarry Lee ClarkDentist · (608) 375-4549

Enumeration DateMay 3, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1497713176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 5001678015

Definition

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.

105 EAST BLUFF STREET, Boscobel, WI 53805

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Other Identifiers 1

Medicaid33549200WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is L L Clark Dds Sc's NPI number?

The NPI number for L L Clark Dds Sc is 1497713176. It was assigned to this organization in the NPPES registry on May 3, 2006.

Where is L L Clark Dds Sc located?

L L Clark Dds Sc is located at 105 East Bluff Street, Boscobel, WI 53805. The listed phone number is (608) 375-4549.

What is L L Clark Dds Sc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for L L Clark Dds Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.