Dr Jack R Clark, DMD in Homewood, AL - Dentist

Dr Jack R Clark, DMD is a Dentist - General Practice based in Homewood, Alabama. Dr Jack R Clark is licensed to practice in Alabama (license number 4290) and his current practice location is 1856 Lancaster Rd, Homewood, Alabama. He can be reached at his office (for appointments etc.) via phone at (205) 871-2591.

NPI number for Dr Jack R Clark is 1083840342 and his current mailing address is 1856 Lancaster Rd, Homewood, Alabama. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083840342.

Contact Information

	Dr Jack R Clark, DMD
	1856 Lancaster Rd, Homewood, AL 35209-4114
	(205) 871-2591
	(205) 879-1900

Healthcare Provider's Profile

Full Name	Dr Jack R Clark
Gender	Male
Speciality	Dentist - General Practice
Location	1856 Lancaster Rd, Homewood, Alabama
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1083840342
Provider Enumeration Date: 06/01/2009
Last Update Date: 06/01/2009

Medical Identifiers

Medical identifiers for Dr Jack R Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083840342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	4290 (Alabama)	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. Dr Jack R Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jack R Clark, DMD 1856 Lancaster Rd, Homewood, AL 35209-4114 Ph: (205) 871-2591	Dr Jack R Clark, DMD 1856 Lancaster Rd, Homewood, AL 35209-4114 Ph: (205) 871-2591

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Dentist in Homewood, AL

Dr. Preston Callaway Adams, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 2045 Brookwood Medical Ctr Dr Ste 6, Homewood, AL 35209 Phone: 205-326-7444 Fax: 205-637-1933
Dr. Julie Leigh Webb, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1752 Oxmoor Rd, Homewood, AL 35209 Phone: 205-868-4577 Fax: 205-868-4579
Kara Ward, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2828 Central Ave, Homewood, AL 35209 Phone: 205-871-2592 Fax: 205-871-2506
Dr. Margaret Emily Leeds, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 112 Broadway St, Homewood, AL 35209 Phone: 205-847-1415
Michelle Bajjalieh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3500 Independence Dr, Ste 100, Homewood, AL 35209 Phone: 205-802-7277 Fax: 205-802-7279
Dr. David Farrington Peters, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3351 Independence Dr, Suite#202, Homewood, AL 35209 Phone: 205-423-0900 Fax: 205-423-0930

Dr Jack R Clark, DMD - Dentist in Homewood, AL