Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Larry Clark

Individual provider General Practice Dentistry · NPI 1174945919

Larry Clark practises General Practice Dentistry in Boscobel, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.

Licensed in
WI
In the registry since
2014

Practice location Address checks out

105 E Bluff St
Boscobel, WI 53805-1610 Not confirmed with CMS for 12 years — call before visiting
Phone: (608) 375-4549
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 5001678 (WI)

Record details

NPI number1174945919
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 14, 2014
Last updated in NPPESJanuary 14, 2014

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