Dr Shannon Carol Clark, DDS - Dentist in Pittsburg, KS

Dr Shannon Carol Clark, DDS is a Dentist based in Pittsburg, Kansas. Dr Shannon Carol Clark is licensed to practice in Kansas (license number 62065) and her current practice location is 2002 S Rouse St, Pittsburg, Kansas. She can be reached at her office (for appointments etc.) via phone at (620) 231-2871.

NPI number for Dr Shannon Carol Clark is 1922273481 and her current mailing address is 2002 S Rouse St, Pittsburg, Kansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922273481.

Contact Information

Dr Shannon Carol Clark, DDS
2002 S Rouse St,
Pittsburg, KS 66762-6629
(620) 231-2871
Not Available



Healthcare Provider's Profile

Full NameDr Shannon Carol Clark
GenderFemale
SpecialityDentist
Location2002 S Rouse St, Pittsburg, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922273481
  • Provider Enumeration Date: 04/25/2008
  • Last Update Date: 04/17/2024

Medical Identifiers

Medical identifiers for Dr Shannon Carol Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922273481NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 3142 (Arkansas)Secondary
122300000XDentist 2020005163 (Missouri)Secondary
122300000XDentist 62065 (Kansas)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 Shannon Carol 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 Shannon Carol Clark, DDS
2002 S Rouse St,
Pittsburg, KS 66762-6629

Ph: (620) 231-2871
Dr Shannon Carol Clark, DDS
2002 S Rouse St,
Pittsburg, KS 66762-6629

Ph: (620) 231-2871

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› Verified 8 days ago


Dentist in Pittsburg, KS

Dr. John Fasbinder, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 3011 N Michigan St, Pittsburg, KS 66762
Phone: 620-231-9873    Fax: 620-231-5062
Robert L Couch, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3011 N Michigan St, Pittsburg, KS 66762
Phone: 620-231-9873    Fax: 620-231-5062
Cody Shawn Groll, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 3011 N Michigan St, Pittsburg, KS 66762
Phone: 202-319-8736    Fax: 620-231-5062
Timothy P Crawford, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 924 N Broadway St, Pittsburg, KS 66762
Phone: 620-231-6788    Fax: 620-231-2331
Dr. Eric Youvan, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 302 E 4th St, Suite E, Pittsburg, KS 66762
Phone: 620-231-6969    Fax: 620-231-8018
Dr. Albert Mendez, D.D.S
Dentist
Medicare: Medicare Enrolled
Practice Location: 1510 N Broadway St, Pittsburg, KS 66762
Phone: 620-231-6070    
David Doshier Russell, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 924 N Broadway St, Pittsburg, KS 66762
Phone: 620-231-6788    Fax: 620-231-2331

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