Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACOB CLARK, DMD
ActiveDR. JACOB CLARK, DMD is a General Dentistry healthcare provider located in GREENVILLE, Kentucky. NPI 1568956621 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · GREENVILLE, KY
Registration Details
- NPI Number
- 1568956621
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2018 (8.1891846465459 yrs)
- Last Updated
- Jun 21, 2018
- License
-
10138 (KY)
Practice Information
- Address
-
203 S CHERRY STGREENVILLE, KY, 423451225Browse KY providers · Browse ZIP 42345
- Phone
- 2703380606
- Fax
- 2703380617
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in GREENVILLE, KY
| Name | Credential | NPI |
|---|---|---|
| MARY WEBB BROWN | DMD, PSC | 1437198587 |
| DR. WILLIAM BRYAN EADES | DMD | 1659665883 |
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.