Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDFORD LEON CLARK JR., DMD
Active Sole ProprietorDR. EDFORD LEON CLARK JR., DMD is a Dentist healthcare provider located in PRESTONSBURG, Kentucky. NPI 1710927785 is currently active in the NPPES registry. Verify at CMS.
Dentist · PRESTONSBURG, KY
Registration Details
- NPI Number
- 1710927785
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2006 (20.225503399042 yrs)
- Last Updated
- Dec 10, 2012
- Licenses
-
5490 (KY)5490 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
415 NORTH LAKE DRIVESTE 201PRESTONSBURG, KY, 41653Browse KY providers · Browse ZIP 41653
- Phone
- 6068864260
- Fax
- 6068860886
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- General Dentistry
Other Dentist Providers in PRESTONSBURG, KY
| Name | Credential | NPI |
|---|---|---|
| DR. MISTY DAWN CLARK | D.M.D. | 1780870196 |
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.