Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chad Michael Clark, DDS, MS, BS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952050924

Chad Michael Clark, DDS, MS, BS is a Student in an Organized Health Care Education/Training Program in Riverton, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.

Licensed in
WY
In the registry since
2022
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MS — Master of Science
A graduate science degree.
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

604 Meadowlark Ln
Riverton, WY 82501-2214
Phone: (307) 343-5676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1606 (WY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1952050924
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS , BS
Sole proprietorYes
NPI enumeratedMarch 18, 2022
Last updated in NPPESNovember 11, 2023
Certification dateNovember 11, 2023
Mailing addressPo Box 966, Thayne, WY 83127-0966

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