Dr. Martin James Clark
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
4185 Technology Forest Blvd Suite 100
The Woodlands
, Texas 77381-2006
Dr. Martin James Clark
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
4185 Technology Forest Blvd Suite 100
The Woodlands
, Texas 77381-2006
(281) 296-9774
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Martin James Clark
- 4185 Technology Forest Blvd Suite 120
- The Woodlands, TX
- Zip : 77381-2006
- Fax : (281) 296-9774
- Phone : (281) 296-9562
Second Address
- Dr. Martin James Clark
- 4185 Technology Forest Blvd Suite 100
- The Woodlands, TX
- Zip : 77381-2006
- Fax : (281) 296-9774
- Phone : (281) 296-9562
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 10468 | TX |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 10468 | TX |
National Provider Identifier
| NPI | 1447256367 |
|---|---|
| Provider Name | Dr. Martin James Clark |
| First Address | The Woodlands, TX 77381-2006 |
| Second Address | The Woodlands, TX 77381-2006 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2005 |
| Last Update Date | 18/12/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.