Whalio Doctors

NPI 1447256367

Martin James Clark, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) The Woodlands, TX

Practice location

Address
4185 Technology Forest Blvd Suite 100, The Woodlands, TX 77381-2006
Phone
(281) 296-9562
Fax
(281) 296-9774
Mailing address
4185 Technology Forest Blvd Suite 120, The Woodlands, TX 77381-2006

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 10468 (TX)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 10468 (TX)

Registry record

NPI
1447256367
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Jun 2005
Record last updated
18 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.