Candice Clark, DDS

ActiveIndividual ProviderDentistry
NPI issued: October 27, 2005

Quick Facts

NPI Number
1124018379
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(505) 325-7700
StateNM

NPI Validation Status: Verified

Valid 10-digit NPI number (1124018379)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (October 27, 2005)
Data source: CMS NPPES

Provider Overview

CANDICE CLARK, DDS is a Dentistry provider based in Farmington, NM who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1124018379
Provider TypeIndividual Provider
GenderFemale
CredentialDDS
StatusActive
Enumeration DateOctober 27, 2005

Practice Location

CityFarmington
StateNM
ZIP Code87401-2602
Phone(505) 325-7700

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223G0001X
License StateNM

Mailing Address

CityFarmington
StateNM
ZIP Code87401-2602
Phone(505) 325-7700
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1124018379 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1124018379for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1124018379 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
174,905
Dentistry Providers in the US

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People Also Ask

What is Candice Clark's NPI number?
Candice Clark's NPI number is 1124018379, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Candice Clark's NPI currently active?
Yes, Candice Clark's NPI status is Active as of the latest CMS NPPES database updates.
What does Candice Clark specialize in?
Candice Clark specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does Candice Clark practice?
Candice Clark practices in Farmington, NM 87401-2602.
When was Candice Clark's NPI issued?
Candice Clark's NPI was issued on October 27, 2005.
What is Candice Clark's provider type?
Candice Clark is registered as an Individual Provider under CMS NPI Type 1.