Dr Devin Clark, is a
Dentist based in Winlock, Washington. Dr Devin Clark is licensed to practice in Washington (license number DE61007637) and his current practice location is
617 Cemetery Rd, Winlock, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 785-4755.
NPI number for Dr Devin Clark is 1952893026 and his current mailing address is 3 E Shore Dr, Asheville, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952893026.
Healthcare Provider's Profile
| Full Name | Dr Devin Clark |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 617 Cemetery Rd, Winlock, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1952893026
- Provider Enumeration Date: 06/04/2018
- Last Update Date: 01/07/2020
Medical Identifiers
Medical identifiers for Dr Devin Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952893026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 11032 (North Carolina) | Secondary |
| 122300000X | Dentist | DE61007637 (Washington) | 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. Dr Devin Clark 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 |
|---|
Dr Devin Clark,
3 E Shore Dr,
Asheville, NC 28805-2201
Ph: () - | Dr Devin Clark,
617 Cemetery Rd,
Winlock, WA 98596-9303
Ph: (360) 785-4755 |
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