Dr. Alan Douglas Clark is a Fayetteville, Arkansas based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Alan Douglas Clark is 3349 for General Practice Dentistry in Arkansas. His current practice location is 745 E. Joyce, Ste 221, Fayetteville. Patients can reach him at 479-443-1849.
Dr. Alan Douglas Clark is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Alan Douglas Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Alan Douglas Clark
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
745 E. Joyce, Ste 221, Fayetteville, Arkansas, 72703
Phone:
479-443-1849
Fax:
479-443-2034
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1619985884
NPI Enumeration Date:
04 Aug, 2006
NPI Last Update On:
26 Oct, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Alan Douglas Clark are as mentioned below.
License Number
Specialization
State
Status
3349
General Practice Dentistry
Arkansas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Alan Douglas Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
870436704
Other
Arkansas
OLD TAX ID #
412175658
Other
Arkansas
NEW TAX ID #
143894608
Medicaid
Arkansas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
745 E. Joyce, Ste 221 Fayetteville, Arkansas
Zip:
72703
Phone Number:
479-443-1849
Fax Number:
479-443-2034
Patients can reach Dr. Alan Douglas Clark at 745 E. Joyce, Ste 221, Fayetteville, Arkansas or can call to book an appointment on 479-443-1849. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.