Larry Clark
Dentist - General Practice
About Larry Clark
Larry Clark is a male healthcare professional specializing in Dentist - General Practice with a focus on General Practice, registered under National Provider Identifier (NPI) number 1174945919. Their primary practice is located at 105 E BLUFF ST, Boscobel, Wisconsin 53805.
Patients can reach the office at (608) 375-4549. Larry Clark is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Larry Clark has been NPI-registered since 2014.
Doctor Details
Identity & Credentials
- NPI Number
- 1174945919
- Entity Type
- Individual
- First Name
- Larry
- Last Name
- Clark
- Gender
- Male
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 105 E BLUFF ST
- City
- Boscobel
- State
- Wisconsin
- ZIP
- 53805-1610
- Country
- United States
- Phone
- (608) 375-4549
Specialty & Taxonomy
- Primary Specialty
- Dentist - General Practice
- Classification
- Dentist
- Specialization
- General Practice
- Taxonomy Code
- 1223G0001X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 105 E BLUFF ST
- City
- BOSCOBEL
- State
- WI
- ZIP
- 538051610
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Larry Clark's NPI number?
What does Larry Clark specialize in?
Where is Larry Clark located?
Does Larry Clark accept Medicare?
Does Larry Clark offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Larry Clark is 1174945919.