Robert S Clark, DMD is a
Oral & Maxillofacial Surgery based in Lexington, Kentucky. Robert S Clark is licensed to practice in Kentucky (license number 6624) and his current practice location is
2533 Larkin Rd, Suite 101, Lexington, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(859) 278-9376.
NPI number for Robert S Clark is 1215962394 and his current mailing address is 2533 Larkin Rd, Suite 101, Lexington, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215962394.
Healthcare Provider's Profile
Full Name | Robert S Clark |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 2533 Larkin Rd, Lexington, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215962394
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 02/08/2016
Medical Identifiers
Medical identifiers for Robert S Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215962394 | NPI | - | NPPES |
64066244 | Medicaid | KY | |
60066248 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6624 (Kentucky) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 6624 (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. Robert S 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 Address | Practice Location Address |
Robert S Clark, DMD 2533 Larkin Rd, Suite 101, Lexington, KY 40503-3278 Ph: (859) 278-9376 | Robert S Clark, DMD 2533 Larkin Rd, Suite 101, Lexington, KY 40503-3278 Ph: (859) 278-9376 |
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