Dr. Matthew Mitchell Clark
Oral and Maxillofacial Surgeon
716 Denbigh Blvd Ste C1
Newport News
, Virginia 23608-4414
Dr. Matthew Mitchell Clark
Oral and Maxillofacial Surgeon
716 Denbigh Blvd Ste C1
Newport News
, Virginia 23608-4414
(865) 266-3026
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Matthew Mitchell Clark
- 101 Zachary Pl
- Yorktown, VA
- Zip : 23693-1909
- Phone : (865) 266-3026
Second Address
- Dr. Matthew Mitchell Clark
- 716 Denbigh Blvd Ste C1
- Newport News, VA
- Zip : 23608-4414
- Phone : (757) 874-6501
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 0401417451 | VA |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 10945 | TN |
National Provider Identifier
| NPI | 1033578653 |
|---|---|
| Provider Name | Dr. Matthew Mitchell Clark |
| First Address | Yorktown, VA 23693-1909 |
| Second Address | Newport News, VA 23608-4414 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/02/2016 |
| Last Update Date | 27/08/2021 |
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.