| Dr Thomas Jaggers Clark, DMD | |
|
5805 W Highway 22, Crestwood, KY 40014-7244 | |
| (502) 241-7116 | |
| (502) 241-2339 |
| Full Name | Dr Thomas Jaggers Clark |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 5805 W Highway 22, Crestwood, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134236359 | NPI | - | NPPES |
| 60045713 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4571 (Kentucky) | Primary |
| 1223G0001X | Dentist - General Practice | 4571 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Jaggers Clark, DMD 5805 W Highway 22, Crestwood, KY 40014-7244 Ph: (502) 241-7116 | Dr Thomas Jaggers Clark, DMD 5805 W Highway 22, Crestwood, KY 40014-7244 Ph: (502) 241-7116 |
Dr. Alan R Gould, DDS, MS Dentist Medicare: Accepting Medicare Assignments Practice Location: 5805 W Highway 22, Crestwood, KY 40014 Phone: 502-241-7116 Fax: 502-241-2339 | |
Dr. David Todd Kamer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5301 W Hwy 146, Crestwood, KY 40014 Phone: 502-243-2400 Fax: 502-243-1281 | |
Dr. Trevor K Taylor, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6435 W Highway 146, Suite 1, Crestwood, KY 40014 Phone: 502-241-1515 Fax: 502-241-1521 | |
Dr. Brittany Lynn Holeman, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 8815 W Highway 22, Crestwood, KY 40014 Phone: 502-241-8856 | |
Dr. Adam P Weisenbarger, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8815 W Highway 22, Crestwood, KY 40014 Phone: 502-241-8856 | |
Titus Wongk, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6344 W Highway 146 Ste 100, Crestwood, KY 40014 Phone: 502-241-4121 |