| Clark Orthodontics | |
|
5503 John F. Kennedy Blvd. North Little Rock AR 72116 | |
| (501) 758-4112 | |
| (501) 758-4117 |
| Full Name | Clark Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5503 John F. Kennedy Blvd., North Little Rock, Arkansas |
| Authorized Official Name and Position | Kristin D Clark (DOCTOR/OWNER) |
| Authorized Official Contact | 5017584112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Orthodontics 5503 John F. Kennedy Blvd. North Little Rock AR 72116 Ph: (501) 758-4112 | Clark Orthodontics 5503 John F. Kennedy Blvd. North Little Rock AR 72116 Ph: (501) 758-4112 |
| NPI Number | 1700215175 |
|---|---|
| Provider Enumeration Date | 11/06/2013 |
| Last Update Date | 09/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700215175 | NPI | - | NPPES |
| 200527631 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Dr. Kerry Moon, D.d.s., Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Crestwood Rd Ste 201, North Little Rock, AR 72116 Phone: 501-758-5006 | |
Dental Health Center Of Arkansas, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2550 Main St, North Little Rock, AR 72114 Phone: 501-812-4949 Fax: 501-812-4994 | |
Peder Jensen, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Crestwood Rd, Ste 102, North Little Rock, AR 72116 Phone: 501-758-6182 Fax: 501-758-6184 | |
Orahood Blanscet Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2504 Mccain Blvd Ste 201, North Little Rock, AR 72116 Phone: 501-758-8002 Fax: 501-758-1839 | |
Denesh K Khullar Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2524 Crestwood Rd Ste 2, North Little Rock, AR 72116 Phone: 501-753-7366 | |
Grounds & Meggers Family Dentistry, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4720 Camp Robinson Rd, Suite B, North Little Rock, AR 72118 Phone: 501-753-5564 Fax: 501-753-8650 | |
David F Brockman Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2524 Crestwood Rd, Suite 2, North Little Rock, AR 72116 Phone: 501-753-7366 |