Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clark Family Dentistry

Organization General Practice Dentistry · NPI 1891896148

Clark Family Dentistry provides General Practice Dentistry in Mandeville, Louisiana. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

639 Lotus Dr N
Mandeville, LA 70471
Phone: (985) 624-5449
Fax: (985) 674-0393
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence LA4476 (LA)
Dental Hygienist Taxonomy 124Q00000X

Record details

NPI number1891896148
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Clark — Vp · (985) 624-5449
NPI enumeratedSeptember 26, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address639 Lotus Dr N, Mandeville, LA 70471

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