| Dr Shane Thomas Clark, DMD | |
|
2800 Coors Blvd Nw, Albuquerque, NM 87120-1204 | |
| (505) 352-1166 | |
| Not Available |
| Full Name | Dr Shane Thomas Clark |
|---|---|
| Gender | Male |
| Speciality | Dentist - Endodontics |
| Location | 2800 Coors Blvd Nw, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003220203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DD4100 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shane Thomas Clark, DMD 8400 Oakland Ave Ne, Albuquerque, NM 87122-2721 Ph: (512) 689-8382 | Dr Shane Thomas Clark, DMD 2800 Coors Blvd Nw, Albuquerque, NM 87120-1204 Ph: (505) 352-1166 |
Dan Lafferty Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4550 Eubank Blvd Ne Ste 101, Albuquerque, NM 87111 Phone: 505-292-8588 Fax: 505-292-3100 | |
Dr. Stephanie Ashley Padilla, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3809 Eubank Blvd Ne, Albuquerque, NM 87111 Phone: 505-292-2323 Fax: 855-287-5765 | |
Erin O'neal, Dentist Medicare: Medicare Enrolled Practice Location: 2001 Centro Familiar Blvd Sw, Albuquerque, NM 87105 Phone: 505-873-7400 | |
Dr. William C Gardner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8200 Carmel Ave Ne Ste 101, Albuquerque, NM 87122 Phone: 505-828-2669 Fax: 505-828-2716 | |
Dr. Hunter Lee Mortley, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 7510 Montgomery Blvd Ne, #206, Albuquerque, NM 87109 Phone: 505-881-1998 | |
Shu-ching Catherine Chang, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5721 Fourth Street Nw, Albuquerque, NM 87107 Phone: 505-345-0515 Fax: 505-345-2418 |