S. Chris Clark, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

OK4100 Issued in OK

Legal business name

S. CHRIS CLARK, D.D.S., P.C.

Practice address

7200 S Pennsylvania Ave Ste B
Oklahoma City, OK 73159-3336

Phone

(405) 681-6668

NPI assigned

May 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen Chris Clark, D.D.S.

Title

Chairman of the Board

Phone

(405) 681-6668

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1023239449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 S PENNSYLVANIA AVE STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731593336",
            "telephone_number": "405-681-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 S PENNSYLVANIA AVE STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731593336",
            "telephone_number": "405-681-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. CHRIS CLARK, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CHRIS",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "405-681-6668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "OK4100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Oklahoma City, OK
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• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.