| Dr Gerald A Clark, DDS | |
|
1218 Virginia St E, Suite B, Charleston, WV 25301-2951 | |
| (304) 342-4986 | |
| (304) 345-4499 |
| Full Name | Dr Gerald A Clark |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1218 Virginia St E, Charleston, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982620779 | NPI | - | NPPES |
| 4001052-000 | Medicaid | WV | |
| 550782922-001 | Other | WV | BLUE CROSS BLUE SHIELD # |
| 979099 | Other | WV | UNITED CONCORDIA NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3372 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerald A Clark, DDS 1218 Virginia St E, Suite B, Charleston, WV 25301 Ph: (304) 342-4986 | Dr Gerald A Clark, DDS 1218 Virginia St E, Suite B, Charleston, WV 25301-2951 Ph: (304) 342-4986 |
Mr. Alan Kelso Vance, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1031 Quarrier St Suite 502, Charleston, WV 25301 Phone: 304-343-1733 Fax: 304-343-1734 | |
Dr. Ernest N Pennington, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 111 Brooks St, Charleston, WV 25301 Phone: 304-344-0344 Fax: 304-344-0354 | |
Dr. Daniel K Monday, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1213 Virginia St E, Charleston, WV 25301 Phone: 304-343-1216 Fax: 304-343-1292 | |
William M. Oscanyan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3200 Maccorkle Avenue Se, Camc Dental Center, Charleston, WV 25304 Phone: 304-388-9335 Fax: 304-388-8882 | |
William Christopher Taylor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 208 Leon Sullivan Way, Charleston, WV 25301 Phone: 304-342-1181 Fax: 304-342-4009 | |
Andrew J Zegeer, Dentist Medicare: Medicare Enrolled Practice Location: 112 Morris Street, Ste 2, Charleston, WV 25301 Phone: 304-833-9033 Fax: 304-840-0216 | |
Dr. Matthew Brooks Kerner, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 803 Pennsylvania Ave, Ste 302, Charleston, WV 25302 Phone: 304-388-2950 Fax: 304-388-2951 |