| Clark General Dentistry Center, P.c. | |
|
1918 Forsyth St Macon GA 31201-1144 | |
| (478) 746-0046 | |
| (478) 746-0970 |
| Full Name | Clark General Dentistry Center, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 1918 Forsyth St, Macon, Georgia |
| Authorized Official Name and Position | Rodney Keith Clark (PRESIDENT) |
| Authorized Official Contact | 4787460046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark General Dentistry Center, P.c. 1918 Forsyth St Macon GA 31201-1144 Ph: (478) 746-0046 | Clark General Dentistry Center, P.c. 1918 Forsyth St Macon GA 31201-1144 Ph: (478) 746-0046 |
| NPI Number | 1740543776 |
|---|---|
| Provider Enumeration Date | 06/25/2012 |
| Last Update Date | 06/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740543776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12507 (Georgia) | Primary |
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