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

Dr. Lance D. Clark, DMD

Individual provider Dentist · NPI 1194960914

Dr. Lance D. Clark, DMD is a Dentist in Albuquerque, New Mexico. Practices as a sole proprietor. Licensed in New Mexico and Wyoming.

Licensed in
NM, WY
In the registry since
2008
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1698 Rio Bravo Blvd SW
Albuquerque, NM 87105-6027
Phone: (505) 247-2717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DD3584 (NM)
Dentist Taxonomy 122300000X · Licence 1206 (WY)

Record details

NPI number1194960914
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedDecember 8, 2008
Last updated in NPPESJanuary 23, 2012

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