Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHESTER VAN CLARK JR., D.D.S., M.P.H.
Active Sole ProprietorDR. CHESTER VAN CLARK JR., D.D.S., M.P.H. is a General Dentistry healthcare provider located in AMITY, Arkansas. NPI 1750653127 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · AMITY, AR
Registration Details
- NPI Number
- 1750653127
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2012 (14.505983806886 yrs)
- Last Updated
- Feb 1, 2012
- License
-
AR2228 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
439 E THOMPSON STAMITY, AR, 719218602Browse AR providers · Browse ZIP 71921
- Phone
- 8703425265
- Fax
- 8703426292
- Primary Specialty
-
General Dentistry
1223G0001X
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.