| Michael D. Clark, Dds, Pa | |
|
1616 S Cherry St Pine Bluff AR 71601-6227 | |
| (870) 534-2151 | |
| Not Available |
| Full Name | Michael D. Clark, Dds, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1616 S Cherry St, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Michael Clark (OWNER) |
| Authorized Official Contact | 8705342151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D. Clark, Dds, Pa 1616 S Cherry St Pine Bluff AR 71601-6227 Ph: () - | Michael D. Clark, Dds, Pa 1616 S Cherry St Pine Bluff AR 71601-6227 Ph: (870) 534-2151 |
| NPI Number | 1316383821 |
|---|---|
| Provider Enumeration Date | 05/13/2013 |
| Last Update Date | 05/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316383821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2898 (Arkansas) | Primary |
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› Verified 4 days ago
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