Porter James Clark, DDS - Dentist in Independence, KS

Porter James Clark, DDS is a Dentist - General Practice based in Independence, Kansas. Porter James Clark is licensed to practice in Kansas (license number 4320) and his current practice location is 422 E Main St, Independence, Kansas. He can be reached at his office (for appointments etc.) via phone at (620) 331-3580.

NPI number for Porter James Clark is 1679733265 and his current mailing address is 422 E Main St, Independence, Kansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679733265.

Contact Information

Porter James Clark, DDS
422 E Main St,
Independence, KS 67301-3716
(620) 331-3580
(620) 331-3587



Healthcare Provider's Profile

Full NamePorter James Clark
GenderMale
SpecialityDentist - General Practice
Location422 E Main St, Independence, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679733265
  • Provider Enumeration Date: 06/17/2008
  • Last Update Date: 06/17/2008

Medical Identifiers

Medical identifiers for Porter James Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679733265NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 4320 (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. Porter James 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
Porter James Clark, DDS
422 E Main St,
Independence, KS 67301-3716

Ph: (620) 331-3580
Porter James Clark, DDS
422 E Main St,
Independence, KS 67301-3716

Ph: (620) 331-3580

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Dentist in Independence, KS

Dr. Stewart L. Crow, D.D.S. P.A.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 117 N Penn Ave, Independence, KS 67301
Phone: 620-331-4859    Fax: 620-331-4863
Devishkumar H Patel, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2320 W Main St, Independence, KS 67301
Phone: 620-870-4691    
Dr. Cynthia E Sherwood,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 308 N 6th St, Independence, KS 67301
Phone: 620-331-4499    Fax: 620-331-4592
Dr. Jennifer Michele Beurskens, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 117 N Penn Ave, Independence, KS 67301
Phone: 620-331-4859    Fax: 620-331-4863
Dr. Greg Alan Kelley, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 109 W Main St, Independence, KS 67301
Phone: 620-331-3180    Fax: 620-331-3170
Dr. Mary E Heckman, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 422 E Main St, Independence, KS 67301
Phone: 620-331-3580    Fax: 620-331-3587

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