National Provider Identifier
Betsey Ann Clark, DDS
Betsey Ann Clark, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Elmira, NY and a listed phone number of (607) 733-1715.
Profile Overview
- NPI
- 1285860874
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- June 09, 2009
- Last Updated
- November 01, 2012
Practice Location
- 419 Walnut St
- Elmira, NY 14901-2406
Phone: (607) 733-1715
Specialties
- General Practice Dentistry (1223G0001X)
- Dentist (122300000X)
Full Record
- NPI
- 1285860874
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Betsey
- Middle Name
- Ann
- Credential
- DDS
- Mailing Street Address
- 419 Walnut St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-2406
- Mailing Country
- US
- Mailing Phone
- (607) 733-1715
- Practice Street Address
- 419 Walnut St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-2406
- Practice Country
- US
- Practice Phone
- (607) 733-1715
- Enumeration Date
- June 09, 2009
- Last Updated
- November 01, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X), Dentist (122300000X)