IndividualActive
Ansley Clark, DMD
NPI 1629968276 · Dentist · Birmingham, AL
Provider details
- NPI number
- 1629968276
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- D.007455-C1 (AL)
Practice location
4702 Misty Ridge Cir
Birmingham, AL 35235-8665
Phone: (205) 769-6238
Mailing address
1712 Ridgewood Pl
Vestavia Hills, AL 35216-1630
Registry dates
- Enumerated
- 2025-07-07
- Last updated
- 2025-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.