Dr Katherine Elizabeth Clark, DMD - Dentist in Fort Mill, SC

Dr Katherine Elizabeth Clark, DMD is a Dentist based in Fort Mill, South Carolina. Dr Katherine Elizabeth Clark is licensed to practice in South Carolina (license number 4123) and her current practice location is 130 Ben Casey Dr, Suite 105, Fort Mill, South Carolina. She can be reached at her office (for appointments etc.) via phone at (803) 547-8200.

NPI number for Dr Katherine Elizabeth Clark is 1194749978 and her current mailing address is 130 Ben Casey Dr, Suite 105, Fort Mill, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194749978.

Contact Information

Dr Katherine Elizabeth Clark, DMD
130 Ben Casey Dr, Suite 105,
Fort Mill, SC 29708-6567
(803) 547-8200
Not Available



Healthcare Provider's Profile

Full NameDr Katherine Elizabeth Clark
GenderFemale
SpecialityDentist
Location130 Ben Casey Dr, Fort Mill, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194749978
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 07/10/2012

Medical Identifiers

Medical identifiers for Dr Katherine Elizabeth Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194749978NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 4123 (South Carolina)Primary
1223P0221XDentist - Pediatric Dentistry 9012 (North Carolina)Secondary
1223P0221XDentist - Pediatric Dentistry 4123 (South Carolina)Secondary

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 Katherine Elizabeth 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 AddressPractice Location Address
Dr Katherine Elizabeth Clark, DMD
130 Ben Casey Dr, Suite 105,
Fort Mill, SC 29708-6567

Ph: (803) 547-8200
Dr Katherine Elizabeth Clark, DMD
130 Ben Casey Dr, Suite 105,
Fort Mill, SC 29708-6567

Ph: (803) 547-8200

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› Verified 6 days ago


Dentist in Fort Mill, SC

Dr. David E Woolston, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1075 Market St, Fort Mill, SC 29708
Phone: 919-802-2131    
Dr. Arnold Lavaughan Batchelor Jr., D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 117-a Spratt Street, Fort Mill, SC 29715
Phone: 803-548-2191    
Dr. Logan B Ebersold, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 200 N Dobys Bridge Rd Ste 108, Fort Mill, SC 29715
Phone: 803-396-5888    Fax: 803-396-5896
Dr. Riddhi Patel, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 481 Munn Rd Ste 100, Fort Mill, SC 29715
Phone: 704-323-5390    Fax: 513-585-5511
Dr. Laura Hanson Vaccariello, D.M.D.
Dentist
Medicare: Medicare Enrolled
Practice Location: 482 Mercantile Pl, Ste 104, Fort Mill, SC 29715
Phone: 803-548-4255    Fax: 803-409-0333
Michael D Riordan, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1741 Gold Hill Rd, Suite 200, Fort Mill, SC 29708
Phone: 803-802-2580    Fax: 803-802-3075
Dr. Nathan Edward Beam, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 936 Market St, Suite 206, Fort Mill, SC 29708
Phone: 803-548-4400    Fax: 803-548-4414

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