Dr. Edford Leon Clark Jr. is a Prestonsburg, Kentucky based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Edford Leon Clark Jr. is
5490 for Dentistry in Kentucky. His current practice location is
415 North Lake Drive, Ste 201, Prestonsburg. Patients can reach him at
606-886-4260.
Dr. Edford Leon Clark Jr. 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. Edford Leon Clark Jr. 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. Edford Leon Clark Jr. |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 415 North Lake Drive, Ste 201, Prestonsburg,
Kentucky, 41653 |
| Phone: | 606-886-4260 |
| Fax: | 606-886-0886 |
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: | 1710927785 |
| NPI Enumeration Date: | 07 Jun, 2006 |
| NPI Last Update On: | 10 Dec, 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. Edford Leon Clark Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| 5490 | Dentistry | Kentucky | Primary | |
| 5490 | General Practice Dentistry | Kentucky | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Edford Leon Clark Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 66083861 | Other | | BCBS OF AL |
| 322610 | Other | | TIEGEN BCBS |
| 3147483 | Other | | BCBS OF TN |
| 401559 | Other | | UNITED CONCORDIA |
| 6005L905 | Medicaid | Kentucky | |
| 143184 | Other | Virginia | BCBS OF VA |
| E914 | Other | | FEDERAL BCBS |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 415 North Lake Drive, Ste 201
Prestonsburg, Kentucky |
| Zip: | 41653 |
| Phone Number: | 606-886-4260 |
| Fax Number: | 606-886-0886 |
Patients can reach Dr. Edford Leon Clark Jr. at
415 North Lake Drive, Ste 201, Prestonsburg, Kentucky or can
call to book an appointment on 606-886-4260.
Comments/ Reviews:
Read all the reviews posted for Dr. Edford Leon Clark Jr. below. You may also share your own experience with Dr. Edford Leon Clark Jr.. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.