Dallas Clark, DMD - Medicare Dentist in Charleston, SC

Dallas Clark, DMD is a medicare enrolled "Dentist" provider in Charleston, South Carolina. His current practice location is 173 Ashley Ave, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 876-7645.

Dallas Clark is licensed to practice in South Carolina (license number 10487) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447942859.

Contact Information

Dallas Clark, DMD
173 Ashley Ave,
Charleston, SC 29425-8908
(843) 876-7645
Not Available



Healthcare Provider's Profile

Full NameDallas Clark
GenderMale
SpecialityDentist
Location173 Ashley Ave, Charleston, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447942859
  • Provider Enumeration Date: 05/24/2023
  • Last Update Date: 05/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345690236
  • Enrollment ID: I20231218003917

Medical Identifiers

Medical identifiers for Dallas Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447942859NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 10487 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dallas Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dallas Clark, DMD
169 Ashley Ave Rm 202,
Charleston, SC 29425-8905

Ph: () -
Dallas Clark, DMD
173 Ashley Ave,
Charleston, SC 29425-8908

Ph: (843) 876-7645

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› Verified 2 days ago


Dentist in Charleston, SC

Dr. Mary Victoria Tatum, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 92 Courtenay Dr, Charleston, SC 29403
Phone: 843-577-6112    Fax: 843-937-0200
Adam M Clark, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1416 Ashley River Rd, Atlantic Aesthetics, Charleston, SC 29407
Phone: 843-769-0488    Fax: 843-769-0428
Dr. James Randall Marshall, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 29 Bee Street, Dc 500, Charleston, SC 29425
Phone: 843-792-1904    Fax: 843-792-2212
Dr. Fabio Rizzante, DDS, MSC, PHD, MBA
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 29 Bee Street, Charleston, SC 29425
Phone: 734-489-2834    
Dr. James Elliott Gregory Jr., DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1812 Wallace School Rd, Charleston, SC 29407
Phone: 843-571-4411    
Dr. Theodore D Ravenel V, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 173 Ashley Ave, Charleston, SC 29425
Phone: 843-792-3661    
Dr. Robert Louis Morrow Sr., DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 18 A Leinbach Dr., Charleston, SC 29407
Phone: 843-795-3339    

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