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CLARK E MELSTROM
NPI 1821436387
Dentist in Kingman, AZ

Active since June 06, 2013
4601 STOCKTON HILL RD., KINGMAN, AZ 86409(928) 757-3225(928) 757-7477 Get Directions Write a Review

NPPES record last updated: June 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clark E Melstrom NPPES

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

CLARK E MELSTROM (NPI 1821436387) is an individual dentist in Kingman, Arizona, licensed in Arizona (2714) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1821436387
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameCLARK E MELSTROM
Location Address4601 STOCKTON HILL RD.Kingman, AZ 86409-1759
Mailing Address4601 Stockton Hill RdKingman, AZ 86409-1756 · (928) 757-3225 · Fax (928) 757-7477
Phone(928) 757-3225
Fax(928) 757-7477
Sole ProprietorNo
Enumeration DateJune 6, 2013
✔ NPI 1821436387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · 2714
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4601 STOCKTON HILL RD., Kingman, AZ 86409
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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 Clark Melstrom's NPI number?

The NPI number for Clark Melstrom is 1821436387. It was assigned to this individual provider in the NPPES registry on June 6, 2013.

Where is Clark Melstrom located?

Clark Melstrom practices at 4601 Stockton Hill Rd., Kingman, AZ 86409. The listed phone number is (928) 757-3225.

What is Clark Melstrom's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Clark Melstrom was last updated on June 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.