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Dr. Martin Bloch Clark, D.M.D

Dentist in Albany, GA. Individual provider (NPI-1).

NPI number1154772085
StatusActive
Last updated in NPPESJun 22, 2016

Details

NPI
1154772085
Entity type
Individual (NPI-1)
Name
Dr. Martin Bloch Clark
Credential
D.M.D
Sex
Male
Sole proprietor
No
Enumeration date
Jun 22, 2016
Last updated
Jun 22, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDN015196GAYes

Practice location

602 Pointe North Blvd
Albany, GA 31721-1513

Phone 229-432-6751 · Fax 229-432-5918

Mailing address

602 Pointe North Blvd
Albany, GA 31721-1513

Phone 229-432-6751 · Fax 229-432-5918

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist providers in Albany, GA

All 24 Dentist providers in Albany · All 2,311 providers in Albany

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