Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK R CLARK, DMD
Active Sole ProprietorDR. JACK R CLARK, DMD is a General Dentistry healthcare provider located in HOMEWOOD, Alabama. NPI 1083840342 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · HOMEWOOD, AL
Registration Details
- NPI Number
- 1083840342
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2009 (17.17050595648 yrs)
- Last Updated
- Jun 1, 2009
- License
-
4290 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1856 LANCASTER RDHOMEWOOD, AL, 352094114Browse AL providers · Browse ZIP 35209
- Phone
- 2058712591
- Fax
- 2058791900
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in HOMEWOOD, AL
| Name | Credential | NPI |
|---|---|---|
| DR. DEANNE LANSDELL VAIL | D.M.D | 1386735652 |
| DR. JULIE LEIGH WEBB | DMD | 1093807141 |
| DR. BARRY E. GOODSPEED | D.D.S. | 1811084874 |
| DR. HAROLD HERBERT WEHBY | DMD | 1760686026 |
| DR. BENJAMIN THOMAS WORTHAM | DMD | 1871935585 |
| DR. MARGARET EMILY LEEDS | DMD | 1194456327 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.