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John S. Clark, Apdc — NPI 1750508479, Gulfport, MS | NPI Central

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NPI 1750508479

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John S. Clark, Apdc

NPI 1750508479 · Orthodontics and Dentofacial Orthopedics Dentistry · Gulfport, MS

Provider details

NPI number: 1750508479
Entity type: Organization
Primary specialty: Orthodontics and Dentofacial Orthopedics DentistryDental Providers
Organization subpart: No
Authorized official: John Clark, President(228) 896-8355
License: OR-050-82 (MS)

Specialties & taxonomies

Orthodontics and Dentofacial Orthopedics DentistryPrimary1223X0400XLicense OR-050-82 (MS)
Dental Providers

Practice location

411 Security Sq

Gulfport, MS 39507-1922

Phone: (228) 896-8355

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

411 Security Sq

Gulfport, MS 39507-1922

Other names (DBA / former)

Doing business as: Mississippi Orthodontic Specialists

Registry dates

Enumerated: 2007-04-20
Last updated: 2010-09-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.