Cyrus Bradford Clarke Jr, DMD is a
Student In An Organized Health Care Education/training Program based in Lexington, Kentucky. Cyrus Bradford Clarke Jr is licensed to practice in * (Not Available) (license number ) and his current practice location is
740 S Limestone Room A262, Lexington, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(859) 323-6723.
NPI number for Cyrus Bradford Clarke Jr is 1144725540 and his current mailing address is 740 S Limestone Room A262, Lexington, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144725540.
Healthcare Provider's Profile
| Full Name | Cyrus Bradford Clarke Jr |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 740 S Limestone Room A262, Lexington, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144725540
- Provider Enumeration Date: 03/27/2018
- Last Update Date: 06/28/2018
Medical Identifiers
Medical identifiers for Cyrus Bradford Clarke Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144725540 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 10123 (Kentucky) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cyrus Bradford Clarke Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Cyrus Bradford Clarke Jr, DMD
740 S Limestone Room A262,
Lexington, KY 40536-0293
Ph: (859) 323-6723 | Cyrus Bradford Clarke Jr, DMD
740 S Limestone Room A262,
Lexington, KY 40536
Ph: (859) 323-6723 |
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