DR. CLARK TOBIAS BARCO D.D.S.
NPI 1710089792
Dentist - Periodontics in Indianapolis, IN

Q: What is Clark Barco's NPI number?

The NPI number for Clark Barco is 1710089792. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Q: What is Clark Barco's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Clark Barco was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 September 01, 2006

1481 W 10TH ST, RVAMC, DENTAL SERVICE (160), INDIANAPOLIS, IN 46202(317) 988-2024(317) 988-0245 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Clark Tobias Barco D.d.s. NPPES

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

DR. CLARK TOBIAS BARCO D.D.S. (NPI 1710089792) is an individual periodontics provider in Indianapolis, Indiana, licensed in Indiana (12007214A) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1710089792

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. CLARK TOBIAS BARCOCredential: D.D.S.

Location Address1481 W 10TH ST, RVAMC, DENTAL SERVICE (160)Indianapolis, IN 46202-2803

Mailing Address1481 W 10th St, Rvamc, Dental Service (160)Indianapolis, IN 46202-2803 · (317) 988-2024 · Fax (317) 988-0245

Phone(317) 988-2024

Fax(317) 988-0245

Sole ProprietorNo

Enumeration DateSeptember 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1710089792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in IN · 12007214A

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1481 W 10TH ST, Indianapolis, IN 46202

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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