| Dr Alan Douglas Clark, DDS | |
|
745 E. Joyce, Ste 221, Fayetteville, AR 72703 | |
| (479) 443-1849 | |
| (479) 443-2034 |
| Full Name | Dr Alan Douglas Clark |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 745 E. Joyce, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619985884 | NPI | - | NPPES |
| 870436704 | Other | AR | OLD TAX ID # |
| 412175658 | Other | AR | NEW TAX ID # |
| 143894608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3349 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alan Douglas Clark, DDS 745 E. Joyce, Ste 221, Fayetteville, AR 72703 Ph: (479) 443-1849 | Dr Alan Douglas Clark, DDS 745 E. Joyce, Ste 221, Fayetteville, AR 72703 Ph: (479) 443-1849 |
Dr. Walter E Henderson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 179 N Church Ave, Suite 102, Fayetteville, AR 72701 Phone: 479-442-6512 Fax: 479-442-7817 | |
Dr. Terry G Box, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2101 N Green Acres Rd, Fayetteville, AR 72703 Phone: 479-521-4822 | |
Dr. Robert George Hodous, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2630 E Citizens Dr Ste 8, Fayetteville, AR 72703 Phone: 479-582-1100 Fax: 479-587-1171 | |
Dr. Darrin M Storms, D.D.S., C.A.G.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4102 N Mall Ave, Suite 101, Fayetteville, AR 72703 Phone: 479-521-8887 Fax: 479-521-8889 | |
John L Garlinghouse, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2680 E Joyce Blvd, Fayetteville, AR 72703 Phone: 479-521-0004 Fax: 479-443-6542 | |
Skyler Williams, DMD Dentist Medicare: Medicare Enrolled Practice Location: 4089 N Shiloh Dr, Fayetteville, AR 72703 Phone: 479-439-6183 | |
Dr. Yan Ming Gong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 |