| Dakota B Clark Dmd Llc | |
|
1450 1st Ave Sw Jacksonville AL 36265-3329 | |
| (256) 435-2007 | |
| Not Available |
| Full Name | Dakota B Clark Dmd Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1450 1st Ave Sw, Jacksonville, Alabama |
| Authorized Official Name and Position | Dakota B Clark (OWNER) |
| Authorized Official Contact | 2564352007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota B Clark Dmd Llc 1450 1st Ave Sw Jacksonville AL 36265-3329 Ph: (256) 435-2007 | Dakota B Clark Dmd Llc 1450 1st Ave Sw Jacksonville AL 36265-3329 Ph: (256) 435-2007 |
| NPI Number | 1972101426 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972101426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
William Bruce Young Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Pelham Rd S, Ste A, Jacksonville, AL 36265 Phone: 256-435-4464 Fax: 256-435-2079 | |
Regional Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Pelham Rd S, Jacksonville, AL 36265 Phone: 256-435-4464 Fax: 256-435-2079 | |
Amanda Davis, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1555 Pelham Rd S Ste G, Jacksonville, AL 36265 Phone: 256-371-0310 | |
Eric Lafayette D.m.d Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 Pelham Rd S, Jacksonville, AL 36265 Phone: 256-435-6193 | |
Bruce E. Cunningham, Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 1st Ave Sw, Jacksonville, AL 36265 Phone: 256-435-2007 |