MEDICARE: DR. WILLIAM B CLARK DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	32453	CA

General Provider Information

NPI Number	:	1194863555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM B CLARK DDS

Provider Business Mailing Address
First Line	:	330 PARK AVE
Second Line	:	#10
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-2352
Country	:	US
Telephone Number	:	949-494-1445
Fax Number	:	949-494-1215

Provider Business Practice Location Address
First Line	:	330 PARK AVE
Second Line	:	#10
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-2352
Country	:	US
Telephone Number	:	949-494-1445
Fax Number	:	949-494-1215

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1841360260 — DR. CHERLIN JOHNSON M.D.
Practice Location Address:

330 PARK AVE STE 5
LAGUNA BEACH, CA
92651-2352

Practice Phone: 949-484-6672
Practice Fax:

1033101282 — DR. GARY ARTHUR D.C.
Practice Location Address:

330 PARK AVE , SUITE 3
LAGUNA BEACH, CA
92651-2352

Practice Phone: 949-497-2553
Practice Fax: 949-497-5273

1588680995 — MS. CYNTHIA J.E. COSTA D.C.
Practice Location Address:

330 PARK AVE , SUITE 3
LAGUNA BEACH, CA
92651-2352

Practice Phone: 949-497-2553
Practice Fax: 949-497-5273

1831119080 — MRS. LISA SCOTT ARTHUR D.C.
Practice Location Address:

330 PARK AVE , SUITE 3
LAGUNA BEACH, CA
92651-2352

Practice Phone: 949-497-2553
Practice Fax: 949-497-5273

1356432157 — DR. TRACY NICOLE D.D.S.
Practice Location Address:

330 PARK AVE STE 1
LAGUNA BEACH, CA
92651-2352

Practice Phone: 949-533-2669
Practice Fax:

1881736320 — SUSAN HARTLEY HORIUCHI OD
Practice Location Address:

330 PARK AVE STE 4
LAGUNA BEACH, CA
92651-2352

Practice Phone: 949-494-2546
Practice Fax: 949-497-0010

Directions to “ DR. WILLIAM B CLARK DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.