Dr Jay F Clark, DDS | |
7455 Erie Rd, Lake Shore Prof Bldg, Derby, NY 14047-9305 | |
(716) 947-4308 | |
Not Available |
Full Name | Dr Jay F Clark |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 7455 Erie Rd, Derby, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427241058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 035871 (New York) | Primary |
Mailing Address | Practice Location Address |
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Dr Jay F Clark, DDS 7455 Erie Rd, P.o. Box 417, Derby, NY 14047-9305 Ph: (716) 947-4308 | Dr Jay F Clark, DDS 7455 Erie Rd, Lake Shore Prof Bldg, Derby, NY 14047-9305 Ph: (716) 947-4308 |
Ms. Janet Lee. Pope, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6878 Erie Road, Suite 5, Derby, NY 14047 Phone: 716-947-4652 Fax: 716-947-5758 | |
Mr. J Douglas Schumer, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6878 Erie Road, Suite 5, Derby, NY 14047 Phone: 716-947-4652 Fax: 716-947-5758 |