| Heather E. Clark | |
|
1331 Village Dr Saint Joseph MO 64506-2457 | |
| (816) 232-1444 | |
| (816) 279-1450 |
| Full Name | Heather E. Clark |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1331 Village Dr, Saint Joseph, Missouri |
| Authorized Official Name and Position | Heather Elise Clark (PRESIDENT/DENTIST) |
| Authorized Official Contact | 8162321444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather E. Clark 1331 Village Dr Saint Joseph MO 64506-2457 Ph: (816) 232-1444 | Heather E. Clark 1331 Village Dr Saint Joseph MO 64506-2457 Ph: (816) 232-1444 |
| NPI Number | 1053568477 |
|---|---|
| Provider Enumeration Date | 08/27/2008 |
| Last Update Date | 08/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053568477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2007014394 (Missouri) | Primary |
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