Mr Dale Woodall Clark, DMD - Dentist in Russellville, KY

Mr Dale Woodall Clark, DMD is a Dentist based in Russellville, Kentucky. Mr Dale Woodall Clark is licensed to practice in Kentucky (license number 5933) and his current practice location is 204 East Fourth St, Russellville, Kentucky. He can be reached at his office (for appointments etc.) via phone at (270) 726-7511.

NPI number for Mr Dale Woodall Clark is 1144339177 and his current mailing address is 204 East Fourth St, Russellville, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144339177.

Contact Information

Mr Dale Woodall Clark, DMD
204 East Fourth St,
Russellville, KY 42276
(270) 726-7511
(270) 726-6831

Map and Direction




Healthcare Provider's Profile

Full NameMr Dale Woodall Clark
GenderMale
SpecialityDentist
Location204 East Fourth St, Russellville, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144339177
  • Provider Enumeration Date: 08/30/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Dale Woodall Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144339177NPI-NPPES
60059334MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 5933 (Kentucky)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. Mr Dale Woodall 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 AddressPractice Location Address
Mr Dale Woodall Clark, DMD
204 East Fourth St,
Russellville, KY 42276

Ph: (270) 726-7511
Mr Dale Woodall Clark, DMD
204 East Fourth St,
Russellville, KY 42276

Ph: (270) 726-7511

Reviews and Comments


Dentist in Russellville, KY

Mr. Robert Ellis Allison, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 248 East 5th Street, Russellville, KY 42276
Phone: 270-726-2274    Fax: 270-726-8825
Dr. Michelle R Ham, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 204 Market Sq, Russellville, KY 42276
Phone: 270-726-6490    Fax: 270-726-6894
William Franklin Ham, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 204 Market Sq, Po Bo 1721, Russellville, KY 42276
Phone: 270-726-6490    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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