| Dr. Johhny M Clark Dds Pc | |
|
121 N Rice St Hamilton TX 76531-1857 | |
| (254) 386-8957 | |
| (254) 386-3240 |
| Full Name | Dr. Johhny M Clark Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 121 N Rice St, Hamilton, Texas |
| Authorized Official Name and Position | Lynda Marliessa Clark (OFFICE MANAGER) |
| Authorized Official Contact | 2547840508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Johhny M Clark Dds Pc Po Box 21 Energy TX 76452-0021 Ph: (254) 784-0508 | Dr. Johhny M Clark Dds Pc 121 N Rice St Hamilton TX 76531-1857 Ph: (254) 386-8957 |
| NPI Number | 1831200427 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 04/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831200427 | NPI | - | NPPES |
| 090274402 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12810 (Texas) | Primary |
Hamilton Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 N Rice St, Hamilton, TX 76531 Phone: 254-386-8957 Fax: 254-386-3240 |