DR. RYAN JAMES CLARK


Address: 580 W Parkcenter Blvd Ste B, Boise, ID 83706
Phone: 2083368478

DR. RYAN JAMES CLARK (NPI# 1356639892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356639892
Entity Type Individual
Full Name DR. RYAN JAMES CLARK
Credential D.D.S.
Practice Address 580 W Parkcenter Blvd Ste B
Boise
ID 83706
Practice Telephone 2083368478
Practice Fax Number 2083422703
Mailing Telephone 2083368478
Mailing Fax Number 2083422703
Enumeration Date 2011-07-19
Last Update Date 2011-07-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
4375 ID Dental Providers

Other Providers RYAN CLARK

NPI Name Taxonomy Address Enumeration
1114525748 Ryan Scott Clark Chiropractor 1416 N Redwood Rd Ste B, Saratoga Springs, UT 84045-6455 2020-10-15
1528626959 Ryan Steven Clark Student in an Organized Health Care Education/Training Program 212 Farm Road, #201, Moscow, ID 83843 2019-05-31
1710449384 Ryan Clark Specialist/Technologist 2431 Alteras Dr, Nashville, TN 37211-7279 2019-04-03
1780068718 Ryan Clark Student in an Organized Health Care Education/Training Program 6749 Springview Dr, Westerville, OH 43082-8566 2015-07-20
1689061822 Ryan Clark Thoracic Surgery (Cardiothoracic Vascular Surgery) 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 2015-04-24
1184903460 Ryan Mathew Clark Anesthesiologist Assistant 1500 N Oakland, Bolivar, MO 65613-3099 2011-08-04
1114924149 Ryan N. Clark Specialist/Technologist 1931 Burlington St, North Kansas City, MO 64116-3407 2005-07-06
1518458611 Ryan Alexander Clark Specialist/Technologist 2901 S Santa Fe Ave, Moore, OK 73160-2843 2018-05-23
1508212721 Ryan Clark Taxi 400 W Main St, La Porte City, IA 50651-1027 2016-05-06
1699160374 Ryan L Clark Emergency Medicine 759 Chestnut Street, Springfield, MA 01107 2015-03-31

Office Location

Street Address 580 W PARKCENTER BLVD STE B
City BOISE
State ID
Zip Code 83706

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164993010 Brette Marie Stephenson Counselor 1529 Belmont St., Boise, ID 83706 2018-12-17
1295249241 Boise of Cascadia, LLC Skilled Nursing Facility 6000 W. Denton St., Boise, ID 83706 2017-11-29
1174035638 Zacharia Njoroge Physician Assistant 1055 N Curtis Rd 6th Floor, Boise, ID 83706 2017-10-24
1740708965 Total Renal Care Inc Clinic/Center 1070 N Curtis Rd Ste 125, Boise, ID 83706 2017-09-08
1023532173 Amber Frisch Massage Therapist 2509 S Gekeler Lane, Boise, ID 83706 2017-07-31
1952768145 Katie Garcin Specialist 1407 E Boston Dr, Boise, ID 83706 2016-01-20
1770950677 Kathryn Bender Counselor 1205 N Garden St, Boise, ID 83706 2015-08-26
1457751802 Sabrina Shumar Physician Assistant 901 N Curtis Rd Ste 501, Boise, ID 83706 2014-09-03
1831525070 Katie Joy Wilson Social Worker 333 W. Rossi St. #300, Boise, ID 83706 2013-09-19
1609208610 Christine Lea Eden Surgery 1075 N Curtis Rd Ste 101, Boise, ID 83706 2013-07-31
Find all providers in zip 83706

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588273635 Atlantis Dental Care, P.a. Dentist 13238 W Persimmon Ln Ste 100, Boise, ID 83713-1968 2020-07-24
1235747338 Dentists of Boise and Orthodontics, PC Dentist 7500 W State St Ste 110, Boise, ID 83714-6074 2020-07-15
1346895232 Tejasi Avasare Dentist 8321 W Overland Rd, Boise, ID 83709-1640 2019-08-07
1528610359 Melissa Marie Pysnak Dentist 8850 W Emerald St Ste 150, Boise, ID 83704-4809 2019-07-11
1124684584 Trevor Tafoya Dds Victory Dental, Pllc Dentist 7421 W Victory Rd, Boise, ID 83709-5106 2019-05-11
1982260360 Brant Burbank Dentist 4255 N Eagle Rd Ste 102, Boise, ID 83713-0701 2019-05-11
1972023398 Northview Dental Partnership LLC Dentist 7480 W Northview St, Boise, ID 83704-7232 2017-06-27
1962939421 Travis Jon Weimer Dentist 8336 W Northview St, Boise, ID 83704-7132 2017-05-16
1922480284 Jonathan W Pluid Dentist 4274 N Eagle Rd, Boise, ID 83713-0726 2015-06-23
1922489673 Gray Team LLC Dentist 813 N Stilson Rd, Ste:b, Boise, ID 83703-5119 2015-06-17
Find all providers in BOISE

Competitor

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City BOISE
Zip Code 83706

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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