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
Mailing address1698 Rio Bravo Blvd Sw, Albuquerque, NM 87105-6027

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